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Inspection Summary


Overall summary & rating

Good

Updated 1 March 2018

This was Options Vernon first inspection since registering with the Care Quality Commission as a location under a new provider company, Options Autism (8) Limited.

The inspection took place on 11 and 12 January 2018 and was unannounced on day one. Options Vernon provides care and accommodation for up to 14 people with learning disabilities.

The service did not currently have 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. However, an interim manager was currently overseeing the service and interviews for the permanent post of registered manager were planned for February 2018.

We met and spoke with 12 people during our visit. People were not all able to fully verbalise their views and used other methods of communication, for example pictures. Due to people’s needs we spent time observing people with the staff supporting them. A relative said, “[Person’s name] is happy and safe there.” Another relative said, “Couldn’t be in a better place.” A healthcare professional commented that when they saw the person they supported they always looked happy and comfortable.

Staff had completed safeguarding training and staff had a good knowledge of what constituted abuse and how to report any concerns. Staff knew what action to take to protect people against harm and were confident any incidents or allegations would be fully investigated.

People had support from sufficient levels of staff to meet their needs. Staff had completed suitable training and had the right skills and knowledge to meet people’s needs. New staff completed an induction programme when they started work and staff competency was assessed. Staff also completed the Care Certificate (A nationally recognised training course for staff new to care) if they did not have any formal care qualifications. Staff confirmed this training covered the Equality and Diversity policy of the company. People were protected by safe recruitment procedures to help ensure staff were suitable to work with vulnerable people.

The company’s website states; “Options Group (the provider company that own Options Vernon) successfully provides person centred services to vulnerable people, and as such all programmes of care/support, education/learning and therapy are individually tailored and subject to thorough risk assessment and planning.” People’s risks were assessed, monitored and managed by staff to help ensure they remained safe. People’s safety was paramount. Information on all significant events and incidences had been document and analysed. Evaluation of any incidents had been used to help make improvements and keep people safe. Improvements helped to ensure positive progress was made in the delivery of care and support provided by the staff. Feedback from relatives, professionals and staff had been sought to assess the quality of the service provided.

People lived in a service which had been designed and adapted to meet their needs. The service was roughly divided into two living areas. Four people lived upstairs with their own bedrooms, kitchen, laundry and bathroom areas. People lived in an environment that was clean and hygienic. The environment had been assessed to ensure it was safe and meet people’s needs. The service was monitored by the interim manager and provider to help ensure its ongoing quality and safety. The provider’s governance framework, helped monitor the management and leadership of the service, as well as the ongoing quality and safety of the care people were receiving.

People were supported to live full and active lives and were able to access a wide range of activities that reflected people’s interests and individual hobbies. People were give

Inspection areas

Safe

Good

Updated 1 March 2018

This service was safe.

People, felt safe. People were protected from abuse and avoidable harm.

People received their medicines as prescribed. People’s medicines were administered and managed safely and staff were aware of best practice.

People were supported by sufficient numbers of suitable, experienced and skilled staff.

Risks had been identified, assessed and managed appropriately.

People were protected by the provider’s infection control policies. People lived in a clean and hygienic environment that had been updated to meet people’s needs.

People’s safety was important. If things went wrong, the provider learnt from mistakes and took action to make improvements.

Effective

Good

Updated 1 March 2018

The service was effective.

People’s equality and diversity was respected.

People’s care and support was based on legislation and best practice guidelines, helping to ensure the best outcomes for people. People’s legal rights were upheld and consent to care was sought.

People received individual support from staff who had the knowledge and training to carry out their role.

People could access health, social and medical support as needed and received a co-ordinated approach to these needs.

People were supported to maintain a healthy and balanced diet.

People lived in a service which had been designed and adapted to meet their needs.

Caring

Good

Updated 1 March 2018

The service was caring.

Staff were caring, kind and treated people with dignity, respect and compassion. Staff supported people to be as independent as possible.

People were involved as much as possible in decisions about the support they received and their independence was respected and promoted. Staff were aware of people’s preferences. If people were unable to be involved advocacy service were involved.

Staff understood their role to help protect people’s equality, diversity and human rights to support people individual needs.

Responsive

Good

Updated 1 March 2018

The service was responsive.

People received personalised care.

People’s complex individual communication needs were effectively assessed and met.

People and families where supported to make comments or raise concerns to help improve the quality of the service.

People and families where supported to record peoples individual end of life wishes.

Well-led

Good

Updated 1 March 2018

The service was well led.

People lived in a service whereby the providers’ caring values were embedded into the leadership, culture and staff practice.

Relatives, professionals and staff spoke highly of the interim manager and management team of the service and company.

The interim manager kept their ongoing practice and learning up to date to help develop the team and drive improvement.

People benefited from a manager who worked with external health and social care professionals in an open and transparent way.

There were systems in place to monitor the safety and quality of the service. Relatives and professionals views on the service were sought and quality assurance systems ensured improvements were identified and addressed.