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Disabilities Trust - 1 Westfield Road Good

Inspection Summary


Overall summary & rating

Good

Updated 13 February 2018

Disabilities Trust - 1 Westfield Road is a care home which provides accommodation and personal care for up to three people with high functioning learning disabilities or autism. 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. There were three people using the service when we carried out our inspection.

At the last comprehensive inspection on 21December, 2016 we asked the provider to take action to make improvements in relation to the systems in place to assess, monitor and improve the quality and safety of the services provided and this action has been completed.

At this inspection on 15 January 2018, we rated the service as Good.

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.

People told us they felt safe and staff had an understanding of abuse and the safeguarding procedures that should be followed to report abuse. People had risk assessments in place to cover any risks that were present within their lives, but also enable them to be as independent as possible. All the staff we spoke with were confident that any concerns they raised would be followed up appropriately by their manager.

Staffing levels were sufficient to meet people's current needs. The staff recruitment procedures ensured that appropriate pre-employment checks were completed to ensure only suitable staff worked at the service.

Medicines were managed safely. The processes in place ensured that the administration and handling of medicines was suitable for the people who used the service. Staff were trained in infection control, and had the appropriate personal protective equipment to perform their roles safely. The service was clean and tidy, and regular cleaning took place to ensure the prevention of the spread of infection.

There were arrangements in place for the service to make sure that action was taken and lessons learned when things went wrong, to improve safety across the service

People’s needs and choices were assessed and their care provided in line with up to date guidance and best practice. They received care from staff that had received training and support to carry out their roles. Staff were well supported by the registered manager and senior team, and had one to one supervisions and observations of their practice.

People were encouraged to shop for, prepare and cook their own meals. Staff supported them to make healthy choices to maintain their health and well-being. Staff supported people to book and attend appointments with healthcare professionals, and supported them to maintain a healthy lifestyle. The service worked with other organisations to ensure that people received coordinated and person-centred care and support.

People’s diverse needs were met by the adaptation, design and decoration of premises and they were involved in decisions about the environment. People's consent was gained before any care was provided and the requirements of the Mental Capacity Act 2005 were met. People were 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 support this practice

Staff treated people with kindness, dignity and respect and spent time getting to know them and their specific needs and preferences. People told us they were happy with the way that staff spoke to them, and provided their care in a respectful and dignified manner. People were encouraged to make decisions about how their care was provided.

People were

Inspection areas

Safe

Good

Updated 13 February 2018

The service is safe.

There were systems in place to protect people from the risk of avoidable harm and staff were knowledgeable about their responsibilities. Staff followed procedures to help prevent and control infections.

There was sufficient staff to meet people�s needs and keep them safe. Thorough recruitment procedures reduced the risks of unsuitable people working with people using the service.

People were supported to take their medicines safely and the provider was committed to reviewing and learning from accidents and incidents.

Effective

Good

Updated 13 February 2018

The service is effective.

People's needs were assessed and their needs met by staff that had received appropriate training.

People were supported to maintain their health and well-being and were provided with a choice of meals that supported them to maintain a balanced diet and adequate hydration. The service had good working relationships with other professionals to ensure that people received consistent, timely and co-ordinated care.

People�s consent to care and treatment was sought and people were involved in decisions about their care so that their human and legal rights were sustained.

Caring

Good

Updated 13 February 2018

The service is caring.

Staff knew people well and had a good understanding of their needs and preferences.

Staff supported people to express their views and be actively involved in making decisions about their care.

People�s privacy, dignity and independence needs were understood and respected by staff.

Responsive

Good

Updated 13 February 2018

The service is responsive.

People were supported to be involved in the planning of their care. They were provided with support and information to make decisions and choices about how their care was provided.

People had information on how to make complaints and the provider had procedures they followed to manage and learn from complaints.

Systems were in place to support people and their families when coming to the end of their life.

Well-led

Good

Updated 13 February 2018

The service is well-led.

There was clear leadership of the service which ensured staff received the support, knowledge and skills they needed to provide good care.

Feedback from people was used to drive improvements and develop the service. People�s diverse needs were recognised, respected and promoted.

There was a range of quality audit systems in place to measure the quality and care delivered.