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Inspection Summary


Overall summary & rating

Good

Updated 16 January 2018

The inspection took place on 4 December 2017 and was unannounced. At our last inspection in February 2016 we found a breach of the legal requirements. This was because the provider had not sent us any statutory notifications for people authorised for Deprivation of Liberty Safeguards (DoLS) prior to November 2015. At this inspection we found improvements had been made and that they now met the previous legal breaches.

The service provides residential care for up to ten adults who have learning or physical disabilities, some of whom have sensory impairment, mental ill health or dementia. At the time of our inspection there were eight people using the service. The service had a registered manager. 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.

The service was safe and had practices in place to protect people from harm. Staff had training in safeguarding and knew what to do if they had any concerns and how to report them. People who used the service told us they felt safe and protected from harm.

Risk assessments were personalised and detailed. Staff had the information they needed to mitigate risks.

Staffing levels were meeting the needs of people who used the service.

Recruitment practices were safe and relevant checks were completed prior to staff commencing employment.

Medicines were managed and stored safely. Support workers were only permitted to administer medicines to people after they had undertaken training and were assessed as competent by the registered manager to do so. Medication audits were completed monthly.

The service was clean and free of malodour. People were protected from the spread of infection due to a robust cleaning schedule.

The service documented and learned from incidents and put procedures in place for prevention or reoccurrences.

Training for care staff was provided on a regular basis and updated regularly. Staff spoke positively about the training they received.

Care workers demonstrated a good understanding of the Mental Capacity Act (2005) and how they obtained consent on a daily basis.

The service was supporting people who were subject to Deprivation of Liberty Safeguards (DoLS) in an effective way.

People were supported with maintaining a balanced diet and had a choice of food and beverages.

People were supported to have access to healthcare services and receive on-going support. The service made referrals to healthcare professionals when necessary and advice from healthcare professionals was followed.

Staff demonstrated a caring and supportive approach towards people who used the service and we observed positive interactions and rapport between them.

The service promoted the independence of the people who used the service and people felt respected and treated with dignity.

Care plans were reviewed every six months and any changes were documented accordingly.

Concerns and complaints were encouraged and listened to and records confirmed this. Relatives of people who used the service told us they knew how to make a complaint.

The registered manager had a good relationship with staff, people who used the service and their relatives. People spoke positively about the registered manager and their management style.

The service had robust quality assurance methods in place and carried out regular audits.

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 using the service can live as ordinary a life as any citizen.

Inspection areas

Safe

Good

Updated 16 January 2018

The service remains Good.

Effective

Good

Updated 16 January 2018

The service was effective. People's needs and choices were assessed and care was delivered in a personalised way.

Staff had the relevant skills and knowledge to deliver care and support. Training was provided regularly.

People were supported to eat and drink enough to maintain a balanced diet.

People were supported access healthcare support.

People's individual needs were met by the adaptations made at and the design of the service .

Consent to care and treatment was sought in line with legislation.

Caring

Good

Updated 16 January 2018

The service remains Good.

Responsive

Good

Updated 16 January 2018

The service remains Good.

Well-led

Good

Updated 16 January 2018

The service remains Good.