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Voyage (DCA) Scotia House Good

Inspection Summary


Overall summary & rating

Good

Updated 18 April 2018

This inspection was carried out on the 26 and 28 February 2018.

This service provides care and support to people living in ‘supported living’ so that they can live as independently as possible. This comprised of 11 independent flats contained within one building with communal lounges and management offices based at the location. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

At the time of our inspection 11 people were receiving support from Voyage (DCA) Scotia House.

There was a registered manager in post who was present during our inspection. 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.

We carried out an unannounced comprehensive inspection of this service on 9 June 2016 and breaches of legal requirements were found and we rated the service as Requires Improvement overall. After the inspection, the provider wrote to us to say what they would do to meet the legal requirements in relation to Regulation 12, safe care and treatment and Regulation 17, good governance.

We undertook a focused inspection in October 2016 to check that they had followed their plan and to confirm that they now met legal requirements. At that inspection we focused on the key questions, is the service safe? And is the service well-led? At that inspection we found that they were meeting the legal requirements but improvements were still required in these two key areas.

At that time these topic areas were included under the key questions of safe, responsive and well-led. We reviewed and refined our assessment framework and published the new assessment framework commencing from 1 November 2017. Under the new framework these topic areas are included under the key questions of safe, effective, responsive and well-led. Therefore, for this inspection, we have inspected these key questions and also the previous key question to make sure all areas are inspected to validate the ratings.

At this inspection we found that improvements had been made and we rated the service Good.

People were safe as staff had been trained and understood how to support people in a way that protected them from danger, harm and abuse. People were supported by enough staff to safely assist them. People received help with their medicines from staff who were trained to safely support them. When errors occurred the provider had systems in place to investigate and take action to minimise the risks to people.

The provider followed infection prevention and control guidance. The provider undertook regular checks on equipment that people used to ensure it was safe and well maintained. The provider completed pre-employment checks on staff before they started work to ensure they were safe to work with people. The provider had systems in place to address any unsafe staff practice.

People received care from staff members that had the skills and knowledge to support them and to meet their needs. New staff members received an induction to their role and were equipped with the skills they needed to work with people. Staff attended training that was relevant to those they supported and any additional training needed to meet people’s requirements was provided.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice

Staff received support and guidance from a management team who they found approachable, knowledgeable and supportive. People, relatives and staff felt able to express their views and felt their opinio

Inspection areas

Safe

Good

Updated 18 April 2018

The service was safe.

People were protected from the risks of abuse by a staff team who knew how to recognise signs of abuse and knew what to do if they had concerns.

Staff members knew how to minimise the risks of harm associated with people�s care. People were safely supported to take their medicines by staff who were competent to do so. The provider followed safe practice when recruiting new staff members.

Effective

Good

Updated 18 April 2018

The service was effective.

People were supported by staff members who were trained and supported to undertake their role. People had their rights protected by staff members who followed current guidance. People had access to healthcare to maintain their wellbeing.

Caring

Good

Updated 18 April 2018

The service was caring.

People had positive relationships with the staff who supported them. People�s diversity was respected by staff members. People�s personal information was kept confidential by staff members supporting them. People were supported at times of upset and anxiety.

Responsive

Good

Updated 18 April 2018

The service was responsive.

People, and where appropriate their relatives, were involved in their assessments of care. People received care from staff members who knew their individual preferences. People and their relatives were encouraged to raise any issues. The management team had systems in place to address any concerns. People were provided with information relating to their care in a way they understood.

Well-led

Good

Updated 18 April 2018

The service was well led.

People, and relatives, had regular contact with the registered manager and found them approachable and supportive. The provider had systems in place to monitor the quality of support given and to make changes when needed. People, relatives and staff members felt involved in the service provided and felt their views mattered.