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Inspection Summary


Overall summary & rating

Good

Updated 10 January 2018

This inspection took place on 7 and 22 November 2017 and was unannounced. The previous inspection was carried out August 2015 and there had been no breaches of legal requirements at that time. We had no previous concerns prior to this inspection.

Springbank provides accommodation for up to 11 adults with a learning disability. At the time of our visit there were 11 people living at the service. 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.

There was a registered manager in post. 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.

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.

People were treated in a dignified, caring manner, which demonstrated that their rights were protected. Where people lacked the capacity to make choices and decisions, staff ensured people’s rights were protected by involving relatives or other professionals in the decision making process. Information was accessible to help people make decisions and express their views about the service. Staff recognised the importance of effective communication enabling them to respond to people in a person centred way. People were very much involved and included in the running of the service with resident forums being organised. They were consulted about activities and involved in the recruitment of staff. There was a strong emphasis this was people’s home.

People remained safe at the home. There were sufficient numbers of staff to meet people’s needs and to spend time socialising with them. Risk assessments were carried out to enable people to receive care with minimum risk to themselves or others. People received their medicines safely.

People were protected from the risk of abuse because there were clear procedures in place to recognise and respond to abuse and staff had been trained in how to follow the procedures. Systems were in place to ensure people were safe including risk management, checks on the equipment, fire systems and safe recruitment processes.

People continued to receive effective care because staff had the skills and knowledge required to effectively support them. People's healthcare needs were monitored by the staff. Other health and social care professionals were involved in the care and support of the people living at Springbank. Staff were proactive in recognising when a person was unwell and liaised with the GP and other health professionals.

The home continued to provide a caring service to people. People, or their representatives, were involved in decisions about the care and support they received. Staff were knowledgeable about the people they supported and very committed to providing care that was tailored to the person. People were treated with kindness and compassion.

People received an exceptionally responsive service. Care and support was personalised and person led. People were supported to take part in a variety of activities and trips out based on their interests and aspirations. End of life care was co-ordinated based on their wishes of the person.

The service was well-led. Relatives and health and social care professionals spoke extremely positively about the commitment of the registered manager and the team in supporting people. The registered manager and provider had monitoring s

Inspection areas

Safe

Good

Updated 10 January 2018

The service continues to be safe.

Effective

Good

Updated 10 January 2018

The service was effective. People using the service were effectively involved and supported with making decisions about their lives. Information was accessible and staff were creative in their approach to ensure people were involved in decisions about their care. There was a multi-agency approach, which was co-ordinated by the registered manager and the team to ensure positive outcomes for people.

Staff were knowledgeable about the legislation to protect people in relation to making decisions and safeguards in respect of deprivation of liberty.

People were supported by staff that knew them well and had received appropriate training. Other health and social care professionals were involved in the care of people and their advice was acted upon. People�s health care needs were being met.

People had access to a healthy and varied diet, which provided them with choice.

Caring

Good

Updated 10 January 2018

The service continues to be caring.

Responsive

Outstanding

Updated 10 January 2018

The service was exceptionally responsive.

The service was flexible and very responsive to people�s individual needs and preferences, finding creative ways to enable people to live as full a life as possible.

The service recognised the importance of seeking expertise from community health and social care professionals so that people's health and wellbeing was promoted and protected.

Care at the end stage of life was extremely well co-ordinated taking into account the wishes of the person, their relatives and involving other health and social care professionals. This was because staff knew people well and supported them in a very person centred way.

Well-led

Good

Updated 10 January 2018

The service continues to be well led.