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Inspection Summary


Overall summary & rating

Good

Updated 11 April 2017

We inspected this service on 28 February 2017. This was an unannounced inspection. At our previous inspection in April 2015, we found that the service met the legal requirements of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

The service is registered to provide accommodation and personal care for up to six people. People who use the service have a learning disability and or a mental health condition. At the time of our inspection six people were using the service.

The service had a registered manager. 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 and associated Regulations about how the service is run.

Staff understood how to keep people safe and people were involved in the assessment and management of risks to their health, safety and wellbeing. People’s medicines were managed safely.

People were protected from the risk of abuse because staff knew how to recognise and report potential abuse. Safe staffing levels were maintained to promote people’s safety and to ensure people participated in activities of their choosing.

People’s health and wellbeing needs were monitored and people were supported to access health and social care professionals as required. People could eat meals that met their individual preferences.

Staff supported people to make decisions about their care and when people were unable to make these decisions for themselves, the requirements of the Mental Capacity Act 2005 were followed. At the time of our inspection, no one was being restricted under the Deprivation of Liberty Safeguards (DoLS). However, staff knew how to apply for a DoLS authorisation if this was required.

Staff received regular training that provided them with the knowledge and skills to meet people’s needs.

People were treated with care, kindness and respect and staff promoted people’s independence and right to privacy.

People were supported and enabled to make choices about their care and the choices people made were respected by the staff.

People were involved in the assessment and review of their care and people worked with staff to set goals to improve their health and wellbeing.

Staff supported people to access the community and participate in activities that met their individual preferences.

Staff sought and listened to people’s views about the care and action was taken to make improvements to care. People understood how to complain about their care and a suitable complaints procedure was in place.

People and staff told us that the registered manager was supportive and approachable. The registered manager and provider regularly assessed and monitored the quality of care to ensure standards were met and maintained.

The registered manager understood the requirements of their registration with us and they notified us of reportable incidents as required.

Inspection areas

Safe

Good

Updated 11 April 2017

The service was safe. Risks to people’s health, safety and wellbeing were regularly assessed with them and staff understood how to keep people safe.

Safe staffing levels were maintained and medicines were managed safely.

Staff knew how to identify and report potential abuse and they supported people to recognise abuse.

Effective

Good

Updated 11 April 2017

The service was effective. Health care plans were in place that ensured people’s health needs were effectively monitored and managed. People were supported to eat meals that met their individual preferences.

Staff supported people to make decisions about their care in accordance with current legislation. Staff had the knowledge and skills required to meet people’s needs and promote people’s health and wellbeing.

Caring

Good

Updated 11 April 2017

The service was caring. People were treated with kindness and respect and their right to privacy was promoted.

People were supported to make choices about their care and independence and contact with family and friends was promoted.

Staff knew people’s likes and care preferences which enabled them to have meaningful interactions with people.

Responsive

Good

Updated 11 April 2017

The service was responsive. People were involved in the assessment and review of their care to ensure their care met their individual preferences and needs. People set goals with the staff to help them to improve their health and wellbeing.

People were supported to access the community and participate in activities that were important to them.

Systems were in place to manage complaints about care.

Well-led

Good

Updated 11 April 2017

The service was well-led. People and staff were supported by an effective management team.

Feedback from people about the quality of care was sought and acted upon to improve people’s care experiences.

Effective systems were in place to regularly assess, monitor and improve the quality of care.