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Inspection Summary


Overall summary & rating

Good

Updated 2 June 2016

This inspection was unannounced and took place on the 22 February 2016.

This was the first inspection of The Cottage by the Care Quality Commission since the service was registered in April 2015.

The Cottage provides both accommodation and personal care for two adults with autistic spectrum disorder needs. The registered provider is Bright Futures Care Limited. At the time of our inspection the service was accommodating two people.

The Cottage is a four-bedroom detached bungalow situated in a semi-rural location set within a shared court yard with a private garden. Each service user has their own bedroom with en-suite facilities and shared communal lounges and kitchen areas. Two of the bedrooms were used by staff that provide sleep in support.

At the time of the inspection there was a registered manager at The Cottage. 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.

The registered manager was present during the day of our inspection and engaged positively in the inspection process, together with support workers on duty.

The home had a warm and friendly atmosphere and people using the service were observed to be comfortable and relaxed in their home environment and in the presence of support workers. Support workers were attentive to the needs of the people they cared for and demonstrated a good understanding of people’s diverse and complex needs, support requirements and preferences.

The provider had established a programme of induction, mandatory and service specific training for staff to access, to ensure people using the service were supported by competent staff. Additional systems of support such as supervision, appraisals and team meetings were also in place.

Robust recruitment policies and procedures were in place to ensure prospective employees were suitable to work with vulnerable people and all required documentation was in place. This confirmed the provider had all the required information to hand before employing and appointing staff.

People using the service had access to a range of person centred activities and a choice of

wholesome and nutritious meals. Records showed that people also had access to GPs and other health care professionals (subject to individual need) and medicines were managed safely.

The needs of people using the service and potential and actual risks had been assessed and planned for to ensure they received appropriate person centred care and support.

Policies and procedures relating to the Mental Capacity Act and Deprivation of Liberty Safeguards had been developed to provide guidance to staff on this protective legislation. Although none of the people living at The Cottage were subject to a DoLS at the time of our inspection, the registered manager and support workers understood their duty of care in respect of these safeguards.

Systems were in place to seek feedback on the quality of care provided, safeguard people from abuse and to respond to concerns and complaints.

Inspection areas

Safe

Good

Updated 2 June 2016

The service was safe.

Policies and procedures were in place to inform staff about safeguarding adults and whistle blowing. Staff had received training in regard to safeguarding vulnerable adults and were aware of the procedures to follow if abuse was suspected.

Staff had access to risk assessments and were aware of actual and potential risks for people using the service and the action they should take to manage them.

Recruitment procedures provided appropriate safeguards for people using the service and helped to ensure people were being cared for by staff that were suitable to work with vulnerable people.

People were protected from the risks associated with unsafe medicines management.

Effective

Good

Updated 2 June 2016

The service was effective.

Staff had access to supervision, induction, mandatory and other training that was relevant to their roles and responsibilities, to ensure they were competent and supported.

Policies and procedures relating to the Mental Capacity Act and Deprivation of Liberty Safeguards had been developed to provide guidance to staff on this protective legislation.

People using the service were supported to access health care professionals and received a healthy diet.

Caring

Good

Updated 2 June 2016

The service was caring.

People were supported by a consistent team of staff that were kind and knowledgeable about people�s individual needs.

People were treated with respect and their privacy and dignity was maintained.

Responsive

Good

Updated 2 June 2016

The service was responsive.

Care records showed people using the service had their needs assessed, planned for and kept under review.

People received care and support which was personalised and responsive to their needs.

Well-led

Good

Updated 2 June 2016

The service was well led.

The Cottage had a registered manager in place that provided leadership and direction.

Systems were in place to monitor the service and to seek feedback from people using the service, their relatives and other representatives on the standard of service provided.