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Inspection Summary


Overall summary & rating

Good

Updated 28 December 2018

This inspection took place on 8 November 2018 and was announced.

Eastry Villa’s is a ‘care home’ for up to 11 people with learning disabilities. People in care homes receive accommodation and 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. At the time of the inspection, there were three people living at the service. The service was going through a transition where a number of people had moved out of the service, and people with different needs were being supported to transition into this service.

The accommodation was set out across a main house, a self contained flat and a separate bungalow. All bedrooms baring one had en-suite facilities. There was a communal lounge, dinning area and kitchen in the main house. There was access to a garden at the back of the house.

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. The service ethos is to enable people with learning disabilities and autism to live as ordinary a life as any citizen.

At our last inspection on 31 March 2017, we rated the service Good. We re-inspected this service earlier than planned due to concerns that had been raised about people’s safety. At this inspection we found that the evidence continued to support the rating of Good.

At this inspection we found the service remained ‘Good’

The service did not have a registered manager in post. The last registered manager left the service in July 2018, a new manager was appointed in September 2018. 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. During this period of time the service has not been consistently well led. Staff told us there was a lack of support and guidance for them when supporting people to move into the service.

People continued to be safeguarded from potential harm and abuse. Staff knew about abuse, and how to report any concerns they had. Risks to people had been assessed and minimised where possible, with detailed guidance in place for staff to follow. Accidents and incidents had been recorded and used to improve the service. Medicines were stored and administered safely. Risks to the environment had been assessed and well managed. The service was clean and well maintained, and had been adapted to meet the needs of the people living there.

There were sufficient staff to meet people’s needs. There were staffing vacancies which were being covered by consistent regular agency staffing. People had been recruited following safe recruitment processes. There continued to be an effective induction system in place, followed by regular training which staff informed us supported them to complete their roles.

People’s needs were assessed before they moved into the service and in line with good practice. People were supported to eat and drink sufficient amounts to maintain a balanced diet. People with specific diet related healthcare conditions had been supported to manage these well, and maintain good health.

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 treated with kindness, compassion and respect. Positive relationships had formed with staff and people. Staff were aware of how to adapt their communication styles to meet people’s needs. People’s privacy and dignity was maintained by staff.

People were supported in a person centred way. People had individu

Inspection areas

Safe

Good

Updated 28 December 2018

The service remains safe.

Effective

Good

Updated 28 December 2018

The service remains effective.

Caring

Good

Updated 28 December 2018

The service remains caring.

Responsive

Good

Updated 28 December 2018

The service has improved to responsive.

Well-led

Requires improvement

Updated 28 December 2018

The service was not consistently well-led.

There was a manager in post but they were not registered with the CQC, which is a requirement of the registration.

Feedback had not always been positive about the leadership of the service. However, people were positive about the manager at the service. Staff now felt supported by the manager.

The manager understood their regulatory requirements.

Regular audits and checks were undertaken at the service to make sure it was safe and running effectively.