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Scenario Management - Riversmede Good

Inspection Summary


Overall summary & rating

Good

Updated 26 January 2019

What life is like for people using this service:

People who lived in supported houses provided by Scenario Management and relatives felt confident in the management team and how the service operated. There were sufficient staffing levels that afforded people responsive and dignified support that allowed people to follow their interests and daily life.

The management team had safe recruitment procedures to ensure staff were suitable to work with vulnerable adults. We saw staffing levels matched each person’s requirements to maintain continuity of care and provided support for people to follow their choices in day to day living and the local community.

Staff responsible for assisting people with their medicines had received training to ensure they had the competency and skills required.

Risk assessments provided instructions for staff members when they delivered care for people supported within the houses and when out in the community.

Care records we looked at were of a good standard, detailed and personalised to the person’s needs and wishes. There was evidence of a multi-disciplinary approach to create a detailed plan so that people who lived in supported housing had support from health and social care professionals.

People supported by the Scenario Management were treated with respect by caring staff. This was confirmed by people we spoke with who lived there and a relative. Comments included, “[Relative] has come on so much since being here they do so much with him.” Also, “They have been so good and kind to me since being here.”

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice. We discussed the principles of the MCA and consent with staff and found they had a good awareness.

We found Scenario Management had systems in place to ensure they met people’s diverse and cultural needs. Those who lived in supported housing told us staff and the management team respected their customs and their way of life. Care records we looked at evidenced people and where appropriate relatives were fully included in their support planning.

The registered manager used a variety of methods to assess and monitor the quality of the service. These included staff meetings and auditing of the service. This enabled the service to be monitored and improve areas that were identified through their quality monitoring processes.

The service worked in partnership with other organisations to ensure they followed good practice and people in their care were safe.

There was a complaints procedure which was made available to people and their family when they commenced using the service. People we spoke with told us they were happy with the support they received.

More information is in Detailed Findings below.

Rating at last inspection:

Good (report published 02 March 2017).

About the service:

Scenario management Limited is registered as a domiciliary care agency which provides supported housing for people with learning disabilities and behaviour that challenges. Staffing is provided 24 hours each day to support the people. They also provide an outreach service to people in the local community.

Why we inspected:

This was a planned inspection based on the rating at the last inspection. The service remained rated good overall.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme or if any issues or concerns are identified.

Inspection areas

Safe

Good

Updated 26 January 2019

The service was safe.

Details are in our Safe findings below.

Effective

Good

Updated 26 January 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 26 January 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 26 January 2019

The service was responsive

Details are in our Responsive findings below

Well-led

Good

Updated 26 January 2019

The service was well-led

Details are in our Well-Led findings below.