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Archived: 21 High Street Good

Inspection Summary


Overall summary & rating

Good

Updated 16 March 2017

This inspection took place on 25 January 2017 and was announced.

21 High Street is a residential care home accommodating up to three adults with learning disabilities. 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.

In addition to the registered manager, the person received support from the provider. As these were the only two staff working at the home they are referred to as the registered manager and the provider in the report. The philosophy of the service is to assist people to gain skills to live a more independent life. The previous two people moved out into more independent living in 2015 and 2016.

People were safe. The registered manager and provider understood their role and responsibilities to keep people safe from harm. Risks were assessed and plans put in place to keep people safe. There were enough staff to safely provide care and support to people.

Medicines were well managed however the person living at the home did not have any prescribed medicines. Emergency systems had been put in place to keep people safe.

People had also been assisted to move to more independent living by the service. We were provided with evidence of incidents where people had been cared for in a supportive and flexible manner which allowed them to move on to more independent living.

Information was provided in a way that made it easier for people to understand. The registered manager and provider took time to reword things when people didn't initially understand. We saw that people had choice and control over their lives and that the registered manager and provider responded to them expressing choice in a positive and supportive manner.

Arrangements were made for people to see their GP and other healthcare professionals when required. People’s healthcare needs were met and the registered manager and provider worked with health and social care professionals to access relevant services. The service was compliant with the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS).

People received a service that was caring. They were cared for and supported by the registered manager and provider who knew them extremely well. The registered manager and provider treated people with dignity and respect. People’s views were actively sought and they were involved in making decisions about their care and support. Information was provided in ways that was easy to understand. People were supported to maintain relationships with family and friends.

The service was responsive to people’s needs. People received person centred care and support. People were encouraged to participate in employment and leisure activities. People were encouraged to make their views known and the service responded by making changes. Transitions for people moving from the service were well planned. The registered manager and provider had worked to ensure people had access to healthcare services.

People benefitted from a service that was well led. The provider had systems in place to check on the quality of service people received and any shortfalls identified were acted upon.

Inspection areas

Safe

Good

Updated 16 March 2017

The service was safe.

People were safe from harm because the registered manager and provider were aware of their responsibilities and able to report any concerns.

Risk assessments were in place to keep people safe.

Medicines were well managed.

Systems had been put in place to keep people, visitors and the registered manager and provider safe.

Effective

Good

Updated 16 March 2017

The service was effective.

The service was compliant with the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS).

People were supported to make choices about their daily lives. People�s fluid and nutritional intake was monitored where required.

People�s healthcare needs were met and the registered manager and provider worked with health and social care professionals to help people access relevant services.

Caring

Good

Updated 16 March 2017

The service was caring.

The registered manager and provider provided the care and support people needed and treated people with dignity and respect.

People�s views were actively sought and they were involved in making decisions about their care and support.

The registered manager and provider recognised and promoted the role of family and friends in people�s lives.

Responsive

Good

Updated 16 March 2017

The service was responsive to people�s needs.

People received person centred care and support.

People were encouraged to make their views known and the service responded by making changes.

The registered manager and provider had worked to ensure people had access to healthcare services.

Well-led

Good

Updated 16 March 2017

The service was well led.

The registered manager and provider demonstrated good management. They had an open, honest and transparent management style with people who used the service.

The provider had systems in place to check on the quality of service people received and any shortfalls identified were acted upon.