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Inspection report

Date of Inspection: 19, 20 August 2014
Date of Publication: 19 September 2014
Inspection Report published 19 September 2014 PDF

Overview

Inspection carried out on 19, 20 August 2014

During a routine inspection

This inspection was undertaken by an adult social care inspector who observed the care being provided to people in the communal areas of the home and examined the care documentation and supporting records. The inspector spoke with six people that used the service and five members of staff to gain their understanding of how they met the needs of people living in the home.

Following the inspection we considered all of the evidence we had gathered under the standards we inspected. We used the information to answer the five questions we always ask:

� Is the service safe?

� Is the service caring?

� Is the service effective?

� Is the service responsive?

� Is the service well led?

Below is a summary of what we found. The summary is based on our observations during the inspection, discussions with people using the service, the staff supporting them and looking at records.

If you wish to see the evidence supporting our summary please read the full report.

Is the service caring?

People who we spoke with as part of our inspection were positive about the care they received. We received comments such as "this is my home I love it here�, and �I�m happy with all my friends here�.

People confirmed that staff treated them with dignity and respect. Staff had clear ideas about what these terms meant and gave examples of how they would put them in to practice when providing care.

The support plans that people had in place were detailed and provided clear and consistent guidelines for staff to follow that would allow care to be delivered in a person centred way. It was clear that people had been involved in discussions about their care and people signed to give their agreement to the support plan.

Is the service responsive?

People's needs were reviewed regularly and the dates of these were recorded on file. This meant that staff were able to respond to any changes in the level of support that a person required. One person that we spoke with said �my keyworker shows me my plan and I can change it if I want to".

Where concerns arose that might indicate a person was at risk, appropriate action was taken in reporting the issues to the relevant authorities.

Is the service safe?

People that we spoke with told us that they felt safe in the presence of staff. One person said �I�ve got nothing to be scared of, I love the staff, my keyworker is the best�.

Staff received training in safeguarding vulnerable adults and told us they would feel confident in identifying and reporting concerns. There was guidance and policies in place for staff to follow in the event of identifying a safeguarding issue. Staff understood the term 'whistleblowing' and knew that they could report concerns to outside agencies if they needed to.

There were risk assessments in place to ensure that people were supported in a safe way. This included clear instructions for staff to support people with their behavioural needs.

People who used the service were cared for by staff who knew how to protect them from the risk of abuse. The home had policies and procedures in relation to the Mental Capacity Act and Deprivation of Liberty Safeguards (Dols). The registered manager stated that since a recent change in the criteria for making Dols applications, applications were to be made for a number of people and that advice had been sought from the appropriate authority. Relevant staff were being trained by the provider to understand when an application may be required. This meant that people were safeguarded from abuse.

Is the service effective?

People�s packages of care were reviewed regularly to ensure that they were meeting the person�s needs. These reviews allowed people to give their opinions on the care they received and for the service to make changes as required.

Staff received training and support to help ensure that they were able to carry out their roles effectively. Regular supervision took place to monitor staff performance.

Is the service well led?

There was a registered manager in place at the time of our inspection. Staff that we spoke with told us they felt well supported and could approach senior staff with any issues or concerns.

A programme of quality monitoring was in place, which included gathering the views of people who used the service. We viewed some returned satisfaction surveys and noted that the responses were positive.