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Inspection Summary


Overall summary & rating

Good

Updated 9 November 2017

This inspection visit took place on 29 September 2017 and was announced.

UBU Cragmere is a detached dormer bungalow in the village of Glusburn. It provides support for up to four people with learning disabilities. Each person has their own bedroom and shares communal facilities of a kitchen/dining area, two bathrooms and two lounges. There is a garden to the front and rear of the property. When we inspected four people lived at UBU Cragmere.

At the last comprehensive inspection on 24 August 2015 the service was rated overall as good with requires improvement in the responsive domain. At this inspection we found the service remained overall good with well led as requires improvement as there had been no registered manage for over a year.

At the last inspection we recommended an increase in social and leisure activities and improvements to the maintenance of the garden area. On this inspection we saw people were involved in regular work, social and leisure activities. Also the garden was tidy and maintained.

There was not a manager registered with CQC. The previous registered manager had left the service in June 2016. The service had attempted to recruit and register a new manager since this time. They had recruited three managers who had left before completing the registration process. This had left staff without stable leadership over this period.

We spoke with people who lived at Cragmere and observed staff interactions with people. People told us they were happy at UBU Cragmere and liked the staff team. We saw interactions were frequent and caring.

There were procedures in place to protect people from abuse and unsafe care. We saw risk assessments were in place which provided guidance for staff. This minimised risks to people.

There were enough staff to support people with personal care and social and leisure activities. There had been a period of high staff turnover but this had settled when we inspected. Staff said they were supported to develop their skills and knowledge to assist them to carry out their role and to provide safe care and support in the way people wanted.

Medicines were managed safely. Medicines were stored securely, administered as prescribed and disposed of appropriately.

Staff understood the requirements of the Mental Capacity Act (2005) and the Deprivation of Liberty Safeguards (DoLS).

People indicated they were happy with the variety and choice of meals available to them.

Care plans were personalised and informative. They described how people wished to be supported and their needs and wishes. People who received support or where appropriate their relatives were involved in making decisions about their care. Their consent and agreement were sought before providing care.

People who lived at UBU Cragmere knew how to raise a concern or to make a complaint. The complaints procedure was available and people said they could let staff know if they were not happy about something.

Senior staff monitored the support staff provided to people. Audits of care and surveys of the views of people and their families were carried out regularly.

Inspection areas

Safe

Good

Updated 9 November 2017

The service remains good.

Effective

Good

Updated 9 November 2017

The service remains good.

Caring

Good

Updated 9 November 2017

The service remains good.

Responsive

Good

Updated 9 November 2017

The service was responsive

People were involved in a choice of work, social and leisure activities of their choosing which encouraged them to enjoy meaningful activities.

People were aware of how to complain if they needed to. They said any comments or complaints were listened to and acted on effectively.

Care plans were person centred, involved people and where appropriate, their relatives and were regularly reviewed.

Well-led

Requires improvement

Updated 9 November 2017

The service was not consistently well led

Despite the providers efforts there had not been a registered manager in post for over a year.

A range of quality assurance measures were in place to monitor the health, safety and welfare of people who lived at the home. Any issues found on audits were quickly acted upon.

People told us staff were approachable and willing to listen. They, their relatives and staff were encouraged to give their opinions on how the home was supporting them.