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Inspection Summary


Overall summary & rating

Good

Updated 29 December 2017

The inspection took place on 23 and 27 November 2017 and was unannounced. At the last inspection on 23 February and 3 March 2015 the service was rated Good. At this inspection the service was rated overall good.

Wargrave house (LEAP) is purpose-built residential accommodation on the site of Wargrave school and college. The service accommodates up to 6 young adults between the ages of 19 and 25 years who are living with autism and attend the college that is also run by the registered provider. On the day of our inspection there were five people staying at the service. Each person stayed for between one and four days each week.

There was a registered manager at the service at the time of 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 of the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The Care Quality Commission is required by law to monitor the operation of the Mental Capacity Act (MCA) 2005 and to report on what we found. At our last inspection we found the registered provider was not fully following the requirements of the MCA. At this inspection records showed the registered provider had ensured all appropriate documentation was in place that included capacity assessments. The registered provider had policies and guidance available to staff in relation to the MCA. Staff demonstrated an understanding of this and had all completed training.

Systems in place for the recruitment of staff were robust and this ensured that only suitable staff were employed to work with the vulnerable people supported. Records showed that all staff had completed an induction at the start of their employment and also undertaken shadow shifts. All staff had completed mandatory training as well as additional training specific to their role. Staff were supported by the management team through regular supervision and team meetings. This meant that people were supported by staff that had the right skills and knowledge for the role.

The registered provider had safeguarding policies and procedures in place. Staff had all received training and demonstrated a good understanding of this topic.

A thorough assessment of people's needs was completed prior to them accessing the service. Individual care plans and risk assessments were in place and included 'What is important' and 'My health passport' documents. People and their chosen relative's had participated in the preparation of their person centred care plans.

People knew the staff that supported them by name and had developed positive relationships. Staff treated people with kindness and were caring in their manner.

People undertook activities of their choice. Feed back was sought from people on each day of their stay at the service. Annual feedback questionnaires were sent to relatives and positive feedback had been received.

Dietary needs were fully assessed and clear guidance and documentation was in place for the management of this. Relatives told us people's dietary needs were met.

The registered provider had documents available in accessible formats that included easy read and pictorial.

There was a clear complaints policy and procedure in place that was accessible to all people and their relatives.

The registered provider had up to date policies and procedures in place that were reviewed regularly.

Inspection areas

Safe

Good

Updated 29 December 2017

The service was safe.

The registered provider followed robust recruitment procedures and ensured sufficient numbers of staff were available to support the needs of people.

Staff all received safeguarding training and were familiar with the policies and procedures in place.

Medicines were managed safely and appropriate emergency procedures were in place.

Effective

Good

Updated 29 December 2017

The service was effective.

Staff supervision was provided in line with the registered provider's policy and best practice.

Staff had the right skills and knowledge to support people and had all received up to date training for their role.

People's rights were protected by staff that had all received training and had knowledge of the Mental Capacity Act 2005.

Caring

Good

Updated 29 December 2017

The service was caring.

Staff and the people supported had developed positive relationships.

People were provided with care by staff that were kind and compassionate.

People were treated with respect and staff respected their right to privacy and dignity.

Responsive

Good

Updated 29 December 2017

The service was responsive.

Care plans reflected people's individual needs and were person centred.

People and their relatives knew how to make a complaint and felt confident they would be listened to.

People were given choices about their activities, food and how they spent their day.

Well-led

Good

Updated 29 December 2017

The service was well led.

Quality assurance systems were in place that helped the management team continually improve and develop the service.

People relatives and staff told us the management team were approachable and always available to offer support or discuss concerns.

The registered provider's policies and procedures were up to date and regularly reviewed.