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Inspection Summary


Overall summary & rating

Good

Updated 5 December 2018

This comprehensive inspection was carried out on 4 and 16 October 2018 . The inspection was announced as 3 Hainault Avenue is a small care home and we wanted to be sure that someone would be in when we inspected. The service is registered to provide accommodation with personal care for one person with a learning disability. At the time of our inspection one person was using the service.

At the last inspection the service was rated as ‘Good'. At this inspection we found the service remained good.

3 Hainault Avenue is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The premises where care and support was provided had been adapted to meet the persons needs and was situated in a quiet residential area close to all local amenities.

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.” Registering the Right Support CQC policy.

There was a registered manager in post who was also the registered manager for another service owned and operated by the provider. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

Risks to the person had been identified with management plans in place to provide guidance to staff. There were sufficient staff employed who had been safely recruited. Staff were aware of risks to the person and knew what to do to keep them safe. Staff had received training in safeguarding and could identify abuse and knew how to report concerns.

Medicines were safely stored, recorded and administered in line with current guidance to ensure the person received their prescribed medicines safely. Staff had received training in infection control and the home environment was clean and hygienic.

Staff received training, supervision and support to be competent in their role. The service supported the person to access healthcare services to maintain their physical and mental health and wellbeing. The person was supported to have enough to eat that met their health needs and preferences.

The service was meeting the requirements of the Deprivation of Liberty Safeguards (DoLS). The person was supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staff were caring and respectful of the person’s privacy and dignity. Independence was promoted and encouraged and the person was assisted to maintain relationships that were important to them.

The person’s needs had been holistically assessed and they received personalised care tailored to them. The person led a full life and was supported to participate in a range of activities of their choosing. The person was supported to express any concerns and information was made available in easy read format to support understanding.

The service was well led. The registered manager was supportive and accessible and had introduced some positive changes since being in post. The person’s and staff views were invited and listened to in order to improve the service. Quality assurance systems and processes were in place to monitor the safety and effectiveness of the service.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 5 December 2018

The service remains good.

Effective

Good

Updated 5 December 2018

The service remains good.

Caring

Good

Updated 5 December 2018

The service remains good.

Responsive

Good

Updated 5 December 2018

The service remains good.

Well-led

Good

Updated 5 December 2018

The service remains good.