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Inspection Summary

Overall summary & rating


Updated 31 May 2019

About the service: Action Deafness is a charity which provides a range of specialist services, including care and support, to people who are deaf or hard of hearing. Action Deafness works in partnership with another specialist agency in Cambridgeshire to provide care and support to people in their own homes in Cambridgeshire. Its office base is in Leicestershire. At the time of the inspection, Action Deafness was providing personal care to eight people using the service. All eight people and staff supporting them were deaf and communicated using British Sign Language.

People’s experience of using this service:

People received safe care. However, information in their risk assessment did not always reflect known risk to their care and support. This meant that staff did not always have sufficient information to guide them. The provider needed to make improvement in their recruitment protocols to ensure that they assure themselves that they employed staff who were suited to work with people that used the service.

There was sufficient number of staff deployed to meet people’s needs. People’s medicines were managed safely. Staff were knowledgeable on how to identify and report any concerns regarding people’s welfare and wellbeing,

Staff had the relevant skills and experience they required to meet people’s needs. They sought people’s consent before they delivered care and offered them choice and control. They demonstrated that they understood the requirement of the Mental Capacity Act (2005).

People received care that was tailored to their individual needs. They were actively involved in planning their own care and support. Care staff supported them to access opportunities and events of their choice.

The provider had suitable systems in place to deliver a good standard of care. The management team provided sufficient supervision and guidance to support staff to meet the needs of people that used the service.

Rating at last inspection: Requires Improvement; published 27 December 2017.

Why we inspected: Planned inspection based on previous rating.

At the last inspection on 21 September and 03 October 2017, we found three breaches of the Health and Social Care Act 2008 (Regulated activities) Regulations 2014.The service was rated overall Requires Improvement.

Following our inspection, the provider informed us what they would do to meet the regulations.

At this comprehensive inspection we checked if they had now met the regulations. Our visit was announced. This meant the staff and the provider knew we would be visiting. During this inspection we found the provider had implemented the necessary improvements. At this visit we found evidence to demonstrate and support the overall rating of Good.

Follow up: We will continue to monitor the home in line with our regulatory powers.

More information is in the detailed findings below.

Inspection areas


Requires improvement

Updated 31 May 2019

The service was not always safe.

Details are in our Safe findings below.



Updated 31 May 2019

The service was effective.

Details are in our Effective findings below.



Updated 31 May 2019

The service was caring.

Details are in our Caring findings below.



Updated 31 May 2019

The service was responsive.

Details are in our Responsive findings below.



Updated 31 May 2019

The service was well-led.

Details are in our Well-Led findings below.