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Inspection Summary


Overall summary & rating

Good

Updated 8 November 2017

We undertook this unannounced inspection on 5 October 2017. High Worple is registered to provide personal care and accommodation for a maximum of 5 people. The home is a detached house and accommodation is provided on the ground floor and first floor of the building. At this inspection the home had five residents with learning disabilities from an Asian background.

At our last comprehensive inspection on 6 November 2015 the service met the regulations we inspected and was rated Good. At this inspection we found the service remained Good.

The service had arrangements to protect people from harm and abuse. Care workers were knowledgeable regarding types of abuse and were aware of the procedure to follow when reporting abuse. Risks assessments had been carried out and risk management plans were in place to ensure the safety of people. The service followed safe recruitment practices and sufficient staff were deployed to ensure people’s needs were met. The arrangements for the administration of medicines were satisfactory and medicines administration record charts (MAR) had been properly completed.

The premises were kept clean and tidy. Infection control measures were in place. There was a record of essential maintenance of inspections by specialist contractors. There were fire safety arrangements. These included weekly alarm checks, a fire risk assessment, drills and training. Personal emergency and evacuation plans (PEEP) were prepared for people to ensure their safety in an emergency.

The service worked with healthcare professionals and ensured that people’s healthcare needs were met. The dietary needs of people had been assessed and arrangements were in place to ensure that people received adequate nutrition.

The Care Quality Commission (CQC) is required by law to monitor the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. DoLS ensures that an individual being deprived of their liberty is monitored and the reasons why they are being restricted are regularly reviewed to make sure it is still in the person’s best interests. We noted that the home had suitable arrangements in place to comply with the Mental Capacity Act 2005 and DoLS.

Care workers worked well as a team and there was effective communication among them. They had received a comprehensive induction and training programme. There were arrangements for support, supervision and appraisals of care workers.

Care workers prepared appropriate and up to date care plans which involved people and their representatives. The home had a varied activities programme to ensure that people received social and therapeutic stimulation. The service worked at encouraging people to be as independent as possible.

The service listened to people who used the service and responded appropriately. There were opportunities for people to express their views and experiences regarding the care and management of the home. Regular residents’ and relatives' meetings had been held. Complaints made had been carefully recorded and promptly responded to.

Comprehensive checks and audits of the service had been carried out by the registered manager and area manager to ensure that the service provided care of a good quality.

Inspection areas

Safe

Good

Updated 8 November 2017

The service remains Good

Effective

Good

Updated 8 November 2017

The service remains Good

Caring

Good

Updated 8 November 2017

The service remains Good

Responsive

Good

Updated 8 November 2017

The service remains Good

Well-led

Good

Updated 8 November 2017

The service remains Good