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Inspection Summary


Overall summary & rating

Good

Updated 17 August 2018

We carried out this unannounced inspection on the 24 and 25 July 2018. At the last inspection carried out on the 25 January 2017 we found that the provider was not meeting all of the legal requirements. We identified that one person was having their liberty restricted without the necessary authority being in place and identified that the management team required further support and knowledge to ensure that they fully understood their responsibilities. We found a breach of Regulation 13 of the Health and Social Care Act 2008 ( Regulated Activities) Regulations 2014. We rated the service as requires improvement. At this inspection we found that the provider had made the required improvements and rated the service as Good.

Sparrowfields is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Sparrowfields provides care and support for a maximum of six people who are living with a learning disability, autism or mental health conditions. There were six people living at the home at the time of the inspection.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

There was a registered manager in post at the time of our inspection. However, they were on annual leave and a senior staff member and the provider’s quality manager supported us with our inspection. 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 were cared for by staff who were trained in recognising and understanding how to report potential abuse. Staff knew how to raise any concerns about people’s safety and shared information so that people’s safety needs were met.

People were protected from risks associated with their health and care needs because risk assessments and associated care plans were developed holistically, reviewed and monitored. This ensured that people received the support they required to remain safe. Staff were aware of the risks to people when supporting them outside of the home in order to promote people’s safety in the community.

People were supported by sufficient numbers of staff who had the knowledge and skills they required to care for people safely and effectively.

Staff sought the expertise of specialist services and health and social care professionals to ensure that the care they provided to people was in keeping with legislation and best practice guidelines. This included advice and support specific to learning disabilities and autistic spectrum disorders.

Staff understood the importance of ensuring people agreed to the care and support they provided and when to involve others to help people make important decisions. The provider was aware of their responsibilities in regard to the Deprivation of Liberty Safeguards (DoLS) .

People were supported to enjoy a wide range of activities and were involved in their day to day care and chose how to spend their day. People were encouraged to maintain their independence and live active and fulfilling lives.

Staff were caring and treated people with respect. We saw people were relaxed around the staff supporting them and we heard and saw positive communication throughout our inspection. It was evident that people had developed positive relationships with staff and there was a friendly, calm relaxed atmosphere within the home.

People

Inspection areas

Safe

Good

Updated 17 August 2018

The service was safe

People were supported by enough members of staff, who had been safely recruited, to ensure that they were kept safe and their needs were met.

Risks to people had been assessed, recorded and well managed

People were protected from the risk of abuse and avoidable harm because staff were aware of the processes they needed to follow.

People received their prescribed medicines as required.

Systems were in place to promote good hygiene standards.

Effective

Good

Updated 17 August 2018

The service was effective

People received care and support with their consent.

People received care from staff who had the training and knowledge required to do their job safely and effectively.

People were supported to eat food that they enjoyed and to maintain their health and wellbeing.

Caring

Good

Updated 17 August 2018

People were supported by staff who knew them well and were

kind and caring in their approach.

People had involvement in care planning which reflected

Individual needs. People were supported to be as independent as possible and were supported to express their views.

People were treated with respect and had the opportunity to

express their culture, faith and sexuality in the ways they wished.

Responsive

Good

Updated 17 August 2018

The service was responsive

People had the opportunity to engage in activities that were based on their interests and meaningful to them.

People were involved in reviewing their care to ensure it still met

their needs.

People were aware of how to raise concerns and complaints, and

could be certain action would be taken in response to the issues

they raised.

Well-led

Good

Updated 17 August 2018

The service was well led

There was a registered manager in post and conditions of the provider�s registration were met.

People were happy with how the service was managed and staff felt supported in their roles.

The provider had systems and processes in place to continuously monitor the safety and quality of the service, which were implemented effectively.