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Inspection Summary


Overall summary & rating

Good

Updated 5 August 2017

Northleigh is registered to provide accommodation and personal care for up to 12 people, who have learning disabilities or who are on the autistic spectrum. There were 10 people living at the home at the time of this inspection.

At the last inspection in May 2016, the provider was in breach of two regulations relating to dignity and respect and good governance. At this inspection the provider demonstrated that improvements had been made and sustained.

There was a registered manager in post at the time of our inspection; however the registered manager was on a period of long term absence from the home. The provider had ensured that an appropriate registered manager from another service was in place and responsible for the day to day running of the home.

A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People had care plans that were personalised to their individual needs and wishes. Records contained detailed information to assist care workers to provide care and support in a person centred approach that respected each person's individual requirements and promoted treating people with dignity and respect.

Care records contained risk assessments and risk management plans to protect people from identified risks and helped to keep them safe but also enabled positive risk taking. They gave information for staff on the identified risk and informed staff on the measures to take to minimise any risks.

People were supported to take their medicines as prescribed. Records showed that medicines were obtained, stored, administered and disposed of safely. People were supported to maintain good health and had access to healthcare services when needed.

Staff understood the need to protect people from harm and knew what action they should take if they had any concerns. There were formal systems in place to assess people’s capacity for decision making under the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards (DoLS).

Staffing levels ensured that people received the support they required safely and at the times they needed. The recruitment practice protected people from being cared for by staff that were unsuitable to work in the home.

People received care from staff that were compassionate, friendly and kind. Staff had the skills and knowledge to provide the care and support people needed and were supported by a management team which was receptive to ideas and committed to providing a high standard of care.

People and staff were confident in the temporary management structure of the home and felt listened to and supported. People and staff were able to provide feedback and this was acted on and improvements were made. The service had audits and quality monitoring systems in place which ensured people received good quality care that enhanced their life. Policies and procedures were in place which reflected the care provided at the home.

Inspection areas

Safe

Good

Updated 5 August 2017

The service was safe.

People felt safe and staff were clear on their roles and responsibilities to safeguard them.

Risk assessments were in place and were reviewed regularly.

Staffing levels ensured that people's care and support needs were safely met.

There were systems in place to manage medicines in a safe way and people were supported to take their prescribed medicines.

Effective

Good

Updated 5 August 2017

This service was effective.

Staff received adequate support, supervision and direction to carry out their roles.

People were actively involved in decisions about their care and support needs and how they spent their day. Staff demonstrated their understanding of the Mental Capacity Act, 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS).

People’s physical and mental health needs were kept under regular review. People were supported to access relevant health and social care professionals to ensure they receive the care, support and treatment that they needed.

Caring

Good

Updated 5 August 2017

This service was caring.

People were encouraged to make decisions about how their support was provided and their privacy and dignity were protected and promoted.

There were positive interactions between people living at the home and staff. People were happy with the support they received from the staff.

Staff had a good understanding of people’s needs and preferences and these were respected and accommodated by staff.

Responsive

Good

Updated 5 August 2017

This service was responsive.

People were involved in the planning of their care which was person centred and updated regularly.

People were engaged in a variety of activities and chose how to spend their time.

People using the service and their relatives knew how to raise a concern or make a complaint. There was a complaints system in place and people were confident that any complaints would be responded to appropriately.

Well-led

Good

Updated 5 August 2017

A registered manager was in post.

The provider had taken immediate action since the last inspection and had made many positive changes within the service.

People, relatives and staff were encouraged to provide feedback about the service and it was used to drive continuous improvement.

Quality assurance systems were in place to monitor and improve the quality of care people received.