This inspection took place on 6 November 2015 and was unannounced.During our last inspection on 13 June 2014 we found no breaches of the regulations assessed.
High Worple provides care to people with learning disabilities from an Asian background. It is registered to provide care for a maximum of 5 people. At the time of our inspection the home had one vacancy. The registered manager was available during this inspection. 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.
Written risk assessments were clear about the actual risk to the person and did provide guidance for staff regarding how risks were to be managed.
People were protected from the risk of abuse. The provider had taken reasonable steps to identify potential areas of concern and prevent abuse from happening. Staff members demonstrated that they understood how to safeguard the people whom they were supporting.
Medicines at the home were well managed.
The physical environment at the home was suitable for the people who lived there. The registered manager informed us that actions had been taken to address minor maintenance issues.
Staff recruitment processes were in place to ensure that care workers employed at the home were suitable. Staffing rotas met the current support needs of people, and we saw that additional staff were provided to support activities where required.
People who used the service had capacity in making independent decisions and were able to leave the home independently as they wished.
Staff training was good and met national standards for staff working in social care organisations. A number of staff had achieved relevant qualifications in health and social care. Care workers received regular supervision and appraisals, and team meetings took place each month.
People’s dietary needs were met by the home, and there was evidence that people were enabled to make choices about the food and drink that they received.
Other health and social care professionals were involved with people’s treatment and support.
Staff members treated people with respect and dignity. The home was able to meet people’s cultural and language needs.
The care plans maintained by the home provided clear person centred guidance and information in respect of how support should be provided by care workers. They had been updated to reflect current information about people who used the service that might have had a significant impact on their care.
People living at the home, relatives and care workers informed us that they were happy with the support and guidance they received from the registered manager.
Quality assurance monitoring took place regularly and records of this were in place.