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Inspection Summary


Overall summary & rating

Good

Updated 22 April 2021

About the service

St Aiden’s Cottage provides personal and nursing care for up to 41 younger and older adults living with a range of conditions including mental health issues, dementia, learning disabilities and autism. At the time of inspection 31 people were using the service.

People’s experience of using this service and what we found

Medicines were managed safely and effectively. Risks were identified and managed appropriately. There were effective processes to ensure lessons were learnt. Improvements had been made to the premises which were clean and tidy. Recruitment procedures were robust. There were enough staff to meet people's needs and people were protected from the risk of abuse.

Staff were responsive to people's needs, but we did find one person’s specific needs were not always consistently met, possibly due to care records not always being accurate. People’s care plans and individual risk assessments reflected their current needs, but it was not always clear from electronic records whether these had all been reviewed regularly. The provider had identified these issues and was taking steps to address them.

Quality monitoring systems had improved. Staff said the management team had made improvements and things had improved significantly. The service did not have a manager registered with the Care Quality Commission (CQC) at the time of this inspection, although an application had been submitted.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, Right Care, Right Culture is the guidance CQC follows to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was able to demonstrate how they were meeting the underpinning principles of Right Support, Right Care, Right Culture. Staff ensured they continually maximised people's choice, control and independence in a safe and inclusive environment, whilst also following national infection prevention and control (IPC) guidance. Each person had their own individual person-centred care plan and risk assessments which promoted their rights, privacy and dignity

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. For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 3 December 2019) and there were three breaches of regulation. The provider completed an action plan after the last comprehensive inspection to show what they would do and by when to improve person-centred care, safe care and treatment and good governance.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements regarding person-centred care, safe care and treatment and good governance. This report only covers our findings in relation to the key questions safe, responsive and well-led which contained those requirements. The inspection was also prompted in part due to concerns about the safe management of medicines at this service. A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe section of the full report.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating

Inspection areas

Safe

Good

Updated 22 April 2021

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 22 April 2021

Caring

Good

Updated 22 April 2021

Responsive

Good

Updated 22 April 2021

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 22 April 2021

The service was well-led.

Details are in our well-led findings below.