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Index Care 88 Abbey Wood Road Good

Inspection Summary


Overall summary & rating

Good

Updated 18 October 2017

This inspection took place on 17 August 2017and was unannounced. At our last inspection on 01 September 2016, we found improvements were needed in relation to medicine room temperatures not being monitored and documented and the service did not have a medicine fridge. Systems in place to audit and check the service were not entirely effective as issues found at the inspection had not been identified by the provider.

At this inspection on 17 August 2017, we found improvements had been made in relation to medicine room temperatures were monitored and documented on a daily basis and there was medicines fridge available should it become necessary for medicines to be stored in the fridge.

88 Abbey Wood Road is a service which provides care and support for up to seven people with mild/moderate learning disabilities. There were seven people using the service at the time of our inspection.

The service had a registered manager who had been in place since February 2016. 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.

Appropriate safeguarding adult's procedures were in place and staff knew and understood how to safeguard people they supported. There was a whistle-blowing procedure available and staff said they would use it if they needed to. Risks to people were identified and monitored and provided clear information and guidance for staff on how to support people. Medicines were stored, administered and recorded appropriately. Appropriate recruitment checks were carried out before staff started work. The provider had carried out appropriate pre-employment checks to ensure staff were suitable and fit to support people using the service. There were enough staff deployed to meet people's care and support needs. Accidents and incidents were recorded and followed up in a timely manner.

Staff received appropriate training and support to carry out their roles and staff training was up to date. Staff received regular supervisions, appraisals. There were processes in place to ensure staff new to the service were inducted into the service appropriately. The registered manager and staff demonstrated a clear understanding of the Mental Capacity Act 2005(MCA). Staff asked people for their consent before they provided care. People were supported to have a balanced diet. People had access to a range of healthcare professionals when required in order to maintain good health.

People said staff were kind and caring and their privacy and dignity was respected. People were encouraged to be as independent as possible.

People were involved in their care planning which was person-centred and identified people’s needs, choices and preferences. Care plans provided clear guidance for staff on how to support people in line with their individual needs. People participated in a range of personalised activities which protected them from social isolation. Regular service user meetings were held to obtain people’s feedback. People knew about the complaints procedure and said they would use it complain if they needed to.

There were effective processes in place to monitor the quality and safety of the service. People’s views had been sought about the service to help drive improvements. Regular staff meetings took place and the service sought people’s feedback about the service. People and staff were complimentary about the service and the registered manager.

Inspection areas

Safe

Good

Updated 18 October 2017

The service was safe.

Appropriate safeguarding adult's procedures were in place and staff had a clear understanding of these procedures.

Risks to people were identified and monitored and provided clear information and guidance for staff on how to support people.

There were enough staff deployed to meet people's care and support needs.

Medicines were stored, administered and recorded appropriately.

Appropriate recruitment checks were carried out before staff started work. The provider had carried out appropriate pre-employment checks to ensure staff were suitable and fit to support people using the service.

Accidents and incidents were recorded and followed up in a timely manner.

Effective

Good

Updated 18 October 2017

The service was effective.

Staff received appropriate training and support to carry out their roles and staff training was up to date.

Staff received regular supervisions, appraisals.

The registered manager and staff demonstrated a clear understanding of the Mental Capacity Act 2005(MCA). Staff asked people for their consent before they provided care.

People were supported to have a balanced diet.

People had access to a range of healthcare professionals when required in order to maintain good health.

Caring

Good

Updated 18 October 2017

The service was caring.

People said staff were kind and caring.

People�s privacy and dignity was respected.

People were encouraged to be as independent as possible.

Responsive

Good

Updated 18 October 2017

The service was responsive

People were involved in their care planning which was person-centred and identified people�s needs, choices and preferences.

Care plans provided clear guidance for staff on how to support people in line with their individual needs.

People participated in a range of personalised activities which protected them from social isolation.

Regular service user meetings were held to obtain people�s feedback.

People knew about the complaints procedure and said they would use it complain if they needed to.

Well-led

Good

Updated 18 October 2017

The service was well-led.

Regular staff meetings took place and the service sought people�s feedback about the service.

People and staff were complimentary about the service and the registered manager.

There were effective processes in place to monitor the quality and safety of the service. People�s views had been sought about the service to help drive improvements.