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Inspection Summary


Overall summary & rating

Good

Updated 9 May 2017

This inspection took place on 9 March 2017 and was unannounced.

Baronsmede is registered to provide personal care for up to nine people with a learning disability. The service also provides supported living services to people on an adjacent property. The provider offered day services where people could attend. At the time of our inspection, eight people were using the service.

The service had 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.

People were protected from harm because staff had had been trained to recognise abuse and knew what action to take to keep people safe. Appropriate recruitment procedures ensured staff were suitable to provide people’s support. People’s needs were met by a sufficient number of skilled staff. People received support to take their medicines from competent staff. Medicines were safely and securely stored at the service.

People received care from staff with the relevant knowledge to meet their individual needs. Staff received ongoing training, supervision and support to enable them to be effective in their role. People received enough to eat and drink and enjoyed the choice of meals provided at the service. Staff supported people to access healthcare services and to have their health needs met.

Staff sought people's consent before they supported them and respected their choices. People’s support was provided in line with the requirements of the Mental Capacity Act 2005. Staff upheld people’s dignity and privacy when they supported them. Staff were kind and caring and promoted people’s independence. People’s communication needs were understood which enabled staff to deliver appropriate care to them.

People received care responsive to their individual needs, wishes, preferences and routines. People were involved in decisions about their care. Staff were familiar with people and had developed good relationships with them. People and their relatives knew how to make a complaint about their care and were confident about doing so.

People’s views were sought and acted on to improve the quality of care provided. An open and inclusive culture encouraged staff to provide personalised care to people. The registered manager was approachable and visible at the service. Staff felt valued at the service and were clear about their roles and responsibilities. The quality of care was assessed and monitored and improvements were made when needed.

Inspection areas

Safe

Good

Updated 9 May 2017

The service was safe. People were protected against the risk of harm or avoidable injury. Staff knew how to identify and report abuse to keep people safe.

People received safe care and support from sufficient numbers of staff. The provider recruited staff safely.

Competent staff managed and administered people’s medicines safely.

Effective

Good

Updated 9 May 2017

The service was effective. People received support from skilled and knowledgeable staff.

Staff delivered effective care because of the support they received in their role through training, supervisions and appraisals.

People consented to care and treatment. Staff supported people in line with the principles of the Mental Capacity Act 2005. Restrictions to people’s liberty was authorised and in their best interest.

People health’s needs and individual dietary requirements were met.

Caring

Good

Updated 9 May 2017

The service was caring. People’s care was provided with kindness, compassion and respect. Staff knew people well and had built positive relationships with them.

Staff respected people’s wishes and preferences.

People had their dignity and privacy upheld. People were involved in making decisions about their care and treatment.

Responsive

Good

Updated 9 May 2017

The service was responsive. People received individualised care that met their needs. Staff reviewed people’s health needs and kept up to date with changes in the support they required.

People took part in a wide variety of activities which they liked. People were encouraged to maintain their independence.

People and their relatives knew how to complain if required. Complaints were resolved in line with the provider’s procedures.

Well-led

Good

Updated 9 May 2017

The service was well-led. People and staff had positive comments about the management and leadership of the service. There was an open and person centred culture at the service.

The registered manager was approachable and accessible to people and staff. Quality checks and audits were used effectively to monitor and improve people’s care and support.