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Gideon Supported Housing Limited Good

Inspection Summary


Overall summary & rating

Good

Updated 8 August 2018

This announced inspection took place on 15 June 2018. Gideon Supported Living provides care and support to people living in two ‘supported living’ settings, so that they can live as independently as possible. 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. The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen. At the time of our inspection there were five people using the service.

At our last inspection in September 2017 the overall rating of the service was requires improvement. Well-led was rated inadequate due to the number of concerns we found. We found four breaches of regulations of the Health and Social Care Act 2008 (Regulated Activities) 2014. These related to management of medicines, person centred care planning, consent to care provided and good governance. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for ‘Gideon Supported Living Home’ on our website at www.cqc.org.uk. The provider sent us an action plan on how they would meet these regulations. At this inspection we found the provider had made the required improvement and now complied with our regulations. We have rated the service overall as Good. However, the rating for well-led is requires improvement. This is because of the previous rating in this area. We needed to be sure they consistently improved and well managed before we can change the rating of well-led to Good.

There was a registered manager in post. 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.

Risks were assessed and management plans developed to reduce potential harm to people. People’s medicines were managed in a safe way. There were sufficient numbers of staff to support people. Staff knew actions to take if they suspected abuse. The registered manager understood their responsibilities to protect people from abuse. Recruitment practices were thorough. Incidents and accidents were recorded and reviewed. Staff followed infection control procedures.

Staff and the registered manager understood their roles and responsibilities under the Mental Capacity Act (MCA) 2005. 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 support this practice. People consented to their care before they were delivered.

People’s care needs were assessed, planned and delivered in a way that met their individual needs. Care plans were detailed and provided guidance to staff. They were up to date and reflected people’s present needs and circumstances. People and their relatives were involved in planning their care and support. People received the supported they needed to meet their nutritional needs. Staff supported people to access healthcare services they needed to maintain good health. The service liaised with other services to ensure people received coordinated care. Staff were supported well through regular training, supervision and appraisal. Staff told us they felt supported in their roles.

Staff supported people with their emotional needs and treated people with dignity and respect. People were comfortable with staff and there was positive interaction between them. Confidential matters were discussed in private and records kept sec

Inspection areas

Safe

Good

Updated 8 August 2018

The service was safe. Staff knew signs to identify abuse and actions to take to report their concerns. Risks to people were identified and management plans were developed to reduce harm. Lessons were learnt from incidents and accidents.

Medicines were handled and managed in a safe way. Staff followed infection control procedures.

There were enough staff available to support people. Recruitment checks were conducted before staff started working with people.

Effective

Good

Updated 8 August 2018

The service was effective. People consented to their care and support. Staff and the registered manager understood their roles and responsibilities under the Mental Capacity Act 2005.

People’s care needs were assessed and planned for. Staff received regular training, support, supervision and appraisal.

Staff supported people with their nutritional needs.

People had access to the healthcare services they required.

People received a well joined-up care and support as the service liaised effectively with other agencies.

Caring

Good

Updated 8 August 2018

The service was caring. Staff knew the people they supported and communicated with them in the way they understood. People felt comfortable with staff.

Staff treated people with dignity and respected their privacy. People and their relatives were involved in their day-to-day care and support.

Responsive

Good

Updated 8 August 2018

The service was responsive. People’s care and support was planned and delivered to meet their individual needs and requirements. Care plans reflected people’s present needs and circumstances.

People were supported to do activities they enjoy. Staff promoted equality and respected people’s diverse needs. People were supported to maintain relationships that were important to them.

Well-led

Requires improvement

Updated 8 August 2018

The service was not consistently well-led. We have rated well-led as requires improvement because we needed to be sure they would consistently improve how the service is managed.

A registered manager was in post who had clinical experience. Staff told us they were supported and received the leadership they needed to be effective in their roles. The views of people and their relatives were sought and these were used to improve care provided to people.

Regular audits and checks took place to assess the quality of the service. There were key policies and procedures in place to ensure the smooth operations of the service.

The registered manager complied with their registration requirements with CQC. The service worked in partnership with the local authority to develop the service.