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Archived: Wealden Community Support Service Good

This service is now registered at a different address - see new profile

Inspection Summary


Overall summary & rating

Good

Updated 12 November 2016

This inspection took place on 30 August, 31 August and 1 September 2016. To ensure we met staff at the service’s main office, we gave short notice of our inspection. This location is registered to provide personal care to people in their own homes. The service provided support to 50 people with a learning disability in the community. However only two people received support with personal care which is a regulatory activity registered by CQC. In addition to the domiciliary care service there was also a supported living service for six people who received support under the regulated activity. This inspection focused on the care and support provided to eight people where they received a service registered by CQC.

People who used the service were adults aged 18 and over with a learning disability. People had different communication needs. People used verbal and non-verbal communication.

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.

Staff were trained in how to protect people from abuse and harm. They knew how to recognise signs of abuse and how to raise an alert if they had any concerns. Risk assessments were effective and promoted positive risk taking. Risk assessments took account of people’s right to make their own decisions.

There were sufficient staff on duty to meet people’s needs. Staffing levels were adjusted according to people’s changing needs. There were safe recruitment procedures in place which included obtaining references and photographic ID. Staff were trained in the safe administration of medicines and supported people with their medicines safely.

Staff knew each person well and understood how to meet their needs. Each person’s needs and personal preferences had been assessed and people had been involved in their own reviews. Staff received effective training and supervision to monitor their performance and professional development. Staff understood the principles of the Mental Capacity Act 2005 (MCA).

People had enough to eat and drink, and received support from staff where a need had been identified. People’s special dietary needs were clearly documented and staff ensured these needs were met.

Staff communicated effectively with people, responded swiftly to their needs and treated them with kindness and respect. People’s privacy was respected and people were assisted in a way that respected their dignity. People were involved in their day to day care and support.

People were promptly referred to health care professionals when needed and were supported to access specialist medical assistance when they needed it. The staff promoted people’s independence and encouraged people to do as much as possible for themselves. People were involved in planning activities of their choice.

People received care that was based on their needs and preferences. They were involved in all aspects of their care and were supported to lead their lives in the way they wanted. People’s views and opinions were sought and listened to. Feedback from people receiving support was used to drive improvements.

The culture of the service was open and person focused. The registered manager provided clear leadership to the staff team and was an active presence in the service. There was strong emphasis on continual improvement and best practice which benefited people and staff. There were robust systems to ensure quality and identify any potential improvements to the service.

Inspection areas

Safe

Good

Updated 12 November 2016

The service was safe.

People were protected from avoidable harm and abuse.

Risk assessments were comprehensive and reduced hazards.

Staffing numbers met people�s needs safely.

Medicines were managed safely.

Effective

Good

Updated 12 November 2016

The service was effective.

Staff were trained and supported.

Consent was being sought and the principles of the MCA complied with.

People received adequate food and drink.

People�s healthcare needs were being met.

Premises met people�s needs and the building was well equipped and suited to meet people�s needs.

Caring

Good

Updated 12 November 2016

The service was caring.

Staff knew people well and used the information effectively.

People and their families were involved in their lives.

People were treated with respect and their independence was encouraged.

Responsive

Good

Updated 12 November 2016

The service was responsive.

People received a person centred service and staff responded effectively to people�s needs.

Complaints were responded to appropriately.

Well-led

Good

Updated 12 November 2016

The service was well led.

The culture of the service was open, person focused and inclusive.

The management team provided clear leadership to the staff team.

Quality monitoring systems had been effective and led to change.