You are here

Inspection Summary


Overall summary & rating

Good

Updated 13 November 2018

The Slater Centre provides personal care to up to 12 people. The service provides care and support to people living in two shared house, (Heffernan House and Stella Maris House), in a supported living setting, so that they can live as independently as possible. At the time of inspection 11 people were receiving this service. People all had needs associated with learning disabilities or autism, some of whom may display behaviours which challenge the service. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living. This inspection looked at people’s personal care and support.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support an overall rating of good. In the “Effective” domain the service had improved to “Outstanding”. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People were provided with highly effective care and support by a well-trained and qualified staff team who received regular ongoing support and development. People’s healthcare needs were very well met and the service advocated positively for them to receive the care and treatment they needed. People living with epilepsy received excellent support because staff had been trained and understood its individual impact on each person. Effective monitoring systems had been established to monitor seizures as safely as possible with the least disturbance.

People with complex dietary needs received excellent support. Staff were well informed and trained to provide specialist diets where necessary and did so effectively to minimise the impact of their illness on people.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice. People were supported to access a wide variety of activities and experiences in the community and had opportunities for supported work placements.

People’s rights, dignity and privacy were promoted by the staff in the way they provided support. Consent was obtained as far as possible prior to support being offered. Where necessary, appropriate professionals and other significant people had been involved in making ‘best interest’ decisions, if people were unable to make particular decisions themselves.

People were supported to maintain their safety as much as possible. Foreseeable risks were identified and assessed and appropriate action was taken to minimise them. Staff understood how to keep people safe and knew how to report any concerns. They were confident that management would take appropriate action should they report any issues.

People’s medicines were managed safely on their behalf by staff who had received training and had their medicines management competency assessed. The service supported a national initiative to reduce the unnecessary use of medicines for people with a learning disability. Behavioural support was offered using approved interventions for which staff had attended recognised training. The level of people’s recorded incidents had reduced significantly when compared to their history in previous placements. Staff recognised in the early stages, where people might require support to manage their behaviours. They were skilled at diversion and distraction techniques to refocus people onto things they enjoyed.

People’s needs were regularly reviewed involving relevant others, to ensure care plans remained up to date and relevant. Care plans and associated records were detailed and supported staff to deliver person-centred care.

The service had a robust recruitment system to ensure as far as possible, the suitability and skills of potential staff. Staffing levels were based on individual assessments of support needs within and outside their home.

The management team provided very effective governance of the service through a range of audits and monitoring systems and were also involved in day-to-day care. The service worked well with external care and health professionals.

The registered manager was actively involved in local initiatives to improve care, recruitment and retention. The values of the provider were widely known and familiar to staff. Staff were proud to work for the organisation. They felt very well supported and that the management team were accessible and approachable and very committed to providing positive care to people.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 13 November 2018

The service remains Good.

Effective

Outstanding

Updated 13 November 2018

The service has improved to Outstanding.

People receive very effective care and support from a well-trained and supported staff team who knew them very well.

People’s rights were protected and their needs were very effectively advocated for, on their behalf, by the service. Their best interests were addressed by the service in consultation with relevant others.

People received excellent healthcare support. Their nutritional and hydration needs were very well managed, including, when people required specialist diets.

Caring

Good

Updated 13 November 2018

The service remains Good.

Responsive

Good

Updated 13 November 2018

The service remains Good.

Well-led

Good

Updated 13 November 2018

The service remains Good.