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Creative Support - Avonlea Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 17 April 2020

About the service

Creative Support – Avonlea is a residential care home, providing accommodation and personal care for up to seven people in one adapted building. It specialises in supporting people who have learning disabilities and or autism. At the time of our inspection, there were six people living at the home.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes.

The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service and what we found

The provider's quality assurance systems and processes were not always effective at identifying concerns and driving improvement in the service. Systems that were in place were not implemented effectively and audits had not identified concerns with the service.

Staff were not consistently deployed to provide people with appropriate support. This meant people did not always receive care that met their needs and staff felt under pressure.

Medicines management required more comprehensive oversight. Environmental risk management and infection control procedures required strengthening.

Training had not always been refreshed at the timescales identified by the provider.

People and their relatives understood how to raise any concerns or complaints with the provider but did not feel their concerns were always responded to effectively.

Safe recruitment procedures were followed.

People were supported to eat a balanced diet that met their needs and any associated risks were managed with appropriate specialist input. Staff worked effectively with community health and social care professionals to achieve positive outcomes for people and ensured their health needs were met.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interest. Policies and systems were in place; however, staff practice did not always follow policy in relation to the administration of Deprivation of Liberty safeguards (DoLS).

Staff knew the people they supported well and adopted a caring approach towards their work. People were treated with dignity and respect.

People's care plans were individual to them and covered key aspects of their care needs. People had support to participate in a range of social and recreational activities.

People were encouraged to express their views about their care and support needs.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (published 21 September 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified a breach of regulation in relation to the governance of the service at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understan

Inspection areas

Safe

Requires improvement

Updated 17 April 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 17 April 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 17 April 2020

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 17 April 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 17 April 2020

The service was not always well-led.

Details are in our well-led findings below.