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We are carrying out a review of quality at Otterhayes. We will publish a report when our review is complete. Find out more about our inspection reports.
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Inspection report

Date of Inspection: 28 June 2013
Date of Publication: 20 August 2013
Inspection Report published 20 August 2013 PDF

Overview

Inspection carried out on 28 June 2013

During a routine inspection

Otterhayes provides residential and supported accommodation for people with learning disabilities. We brought our planned inspection forward because we received information from the local authority safeguarding team about two incidents between two people living in the residential home. A safeguarding meeting took place a few days before this inspection to consider the safety of people living in the home and any actions that may be necessary to reduce the risk of recurrence. The people involved in the incident did not appear to have suffered any lasting harm.

On the day of this inspection the registered manager was away on holiday. Two acting managers were managing the home in their absence. A further incident had occurred just before we arrived. A member of staff had diffused the incident without the need to use physical intervention. We looked at the actions taken by the home to reduce the risk of further incidents. We found that two care plans did not provide sufficient information or instructions to staff about the things that may cause people to become upset or angry, how to prevent this happening or what to do if it occurred. Therefore behaviour that could be challenging for staff and distressing for people living at the home was not well managed and adequate steps were not taken to minimise challenging behaviour?

We looked at the support and training given to the staff team specifically around conflict management, restraint and safeguarding people from abuse. Some staff had worked in the home for many years and had received training in the past. For newer staff the level of training in these topics was low. The acting managers told us they were planning to provide further training in the near future. Records showed that formal supervision sessions for staff had recently been introduced. Staff told us there were informal support systems in the home. We did not see records of staff handover sessions during our inspection. The provider told us after the inspection these records were kept on the home's computer system.

The provider had failed to notify the Commission without delay about two incidents that occurred in the home. Since the safeguarding meeting the home has notified the Commission promptly when further incidents have occurred. This showed they are now aware of their legal duty to notify the Commission about matters affecting the service.