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Inspection Summary


Overall summary & rating

Good

Updated 29 October 2019

About the service:

We conducted an unannounced inspection at Gregory Court on 14 and 15 October 2019. Gregory Court provides personal care and accommodation for up to 10 people living with physical disabilities. It is one of a number of homes run by the charity The Disabilities' Trust. The service is a predominantly a single storey building, and has 10 flats within it, each of which has an ensuite bathroom and a kitchen area. All of the flats, with the exception of one, are on the ground floor. On the day of our visit, seven people were living at the service.

People’s experience of using this service:

Improvements had been made to how risks were assessed, managed and monitored. There was a positive approach to risk management and people were involved in discussions and decisions in how risks were planned for. Incidents and accidents were monitored and there was a system to investigate, learn and improve when incidents occurred. Further improvements were being made to the analysis of incidents for themes and patterns.

People told us they felt safe living at the service and they had access to information and opportunities to discuss any safeguarding concerns. Staff had received safeguarding training and were clear about their role and responsibilities in protecting people from harm.

People were supported by sufficient numbers of staff who were competent, skilled and knew people well. Staff levels were monitored and increased to support people with appointments and activities when required. Safe staff recruitment checks were completed when staff commenced their employment.

The management, administration and storage of medicines had improved, and people were receiving their prescribed medicines. Shortfalls were identified in the recording of hand-written entries on people’s medicines administration records. However, the manager took immediate action to address this with staff to make improvements.

Best practice guidance in relation to infection prevention and control was followed and health and safety checks were completed on the environment and equipment.

Improvements had been made with staff training and support, this included additional training, and staff received regular opportunities to discuss their work training and development needs.

People received opportunities in developing the menu and their nutritional and hydration needs were met and independence was promoted. People were supported with their health care needs and accessed external healthcare professionals and services. Information was shared with external healthcare agencies to support people to receive consistent care.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People's care and support had been planned in partnership with them. People and their relatives felt consulted and listened to about how their care would be delivered.

People and their relatives felt that staff were kind and caring. People’s privacy and dignity was respected, and their independence actively promoted.

People were supported with opportunities to pursue social activities, interests and hobbies and were active citizens of their local community. People were supported to identify and achieve personal goals. End of life wishes had been discussed with people. People had no complaints but knew how to raise any concerns and were encouraged to do so.

Staff had access to policies and procedures that reflected legislation and current best practice. Changes had been made to the management team who had worked hard to make improvements. The management team were enthusiastic and had a positive approach and drive to further develop the service. A new role within the organisation had been developed to lead on personalisation and this was starting to have a positive impact.

New and improved systems an

Inspection areas

Safe

Good

Updated 29 October 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 29 October 2019

The service was effective.

Details are in our safe findings below.

Caring

Good

Updated 29 October 2019

The service was caring.

Details are in our safe findings below.

Responsive

Good

Updated 29 October 2019

The service was responsive.

Details are in our safe findings below.

Well-led

Good

Updated 29 October 2019

The service was well-led.

Details are in our safe findings below.