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Inspection Summary


Overall summary & rating

Good

Updated 21 December 2018

This inspection took place on 4 and 8 October 2018 and was unannounced.

At our last inspection on 27 June 2017 the service was rated ‘Requires Improvement’. We found two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Regulation 12 which related to some staff being unable to explain what safeguarding meant and how to report any concerns appropriately, understanding the purpose of people’s behaviour support plans and staff being unaware of some people’s personal risks. We also found a breach of regulation 18 around staff not always receiving the training they needed to provide effective support and understand people’s specific conditions. Some staff were also unbale to explain how the principles of the Mental Capacity Act (MCA) impacted on the people that they worked with.

Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key questions of safe, effective and well-led to at least good. At this inspection we found that the provider had used the action plan to address these breaches. All staff had been re-trained in safeguarding, MCA and how to effectively use people’s behaviour support plans.

The problems found at the last inspection had been addressed and we found no further breaches at this inspection. The home is now rated ‘Good’.

Roseneath Avenue 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.

The home is registered to accommodate six people in self-contained flats. Each person has a large flat within the home consisting of a bedroom, living and kitchen area and a bathroom and contained everything the person needed to live independently. Since the last inspection the home had refurbished four of the self-contained flats to a high standard. The home also had a back garden that people had access to. At the time of the inspection, four people were living at Roseneath Avenue.

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 place. 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 had person centred risk assessments that provided staff with detailed guidance on how to minimise known risks in the least restrictive way. Staff were able to explain people’s personal risks.

Behaviour that challenged was recognised and there were strategies in place tailored to each person. Staff understood how to work with people effectively to keep them safe and maintain their well-being.

Medicines were managed safely and people received their medicines on time. Staff had received training in medicines and how to administer them safely.

The home had a good understanding of infection control and staff used personal protective equipment to ensure safe care.

Staff received regular supervision, appraisal and training to support them in the role. Staff also received specialist training in working with people living with a learning disability.

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 supported this practice.

People were encouraged to eat healthily and the home supported people where they nee

Inspection areas

Safe

Good

Updated 21 December 2018

The service was safe. Risk assessments were detailed and provided guidance for staff on how to minimise people�s personal risks.

People received their medicines safely and on time.

Staff were able to tell us how they could recognise abuse and knew how to report it appropriately.

There were sufficient staff to ensure people�s needs were met.

Staff were recruited safely.

The home worked well with people whose behaviour challenged.

Effective

Good

Updated 21 December 2018

The service was effective. Staff had on-going training to effectively carry out their role.

Staff were aware of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS).

Staff received regular supervision and appraisals. People were supported by staff who reviewed their working practices.

Peoples healthcare needs were monitored and referrals made when necessary to ensure wellbeing.

People were supported to have enough to eat and drink so that their dietary needs were met. People were encouraged to eat healthily.

Caring

Good

Updated 21 December 2018

The service was caring. There were warm and positive interactions between people and staff.

People were treated with dignity and respect in a way that was meaningful to them.

People were actively encouraged to maintain contact with family and friends.

People were encouraged to be as independent as possible.

Responsive

Good

Updated 21 December 2018

The service was responsive. There were detailed person-centred care plans that reflected people�s needs.

People had individual activity plans that reflected their interests.

People�s communication abilities were taken in to account and information was provided in various ways to aid understanding.

There was a complaints procedure in place. Relatives were aware of how to make a complaint.

Well-led

Good

Updated 21 December 2018

The service was well led. There was good staff morale and guidance from management.

The home had a positive open culture that encouraged learning.

Systems were in place to ensure the quality of the service people received was assessed and monitored.

There were systems in place to ensure learning and sharing of best practice which all staff were involved in.