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Inspection Summary


Overall summary & rating

Good

Updated 9 November 2017

We carried out this unannounced inspection of Place Farm House on 19 September 2017. We previously carried out a focussed inspection at Place Farm House on 3 November 2016. We found the provider was in breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because we identified concerns in relation to the management of medicines.

We undertook this unannounced comprehensive inspection to look at all aspects of the service and to check that the provider had followed their action plan, and confirm that the service now met legal requirements. We found improvements had been made in the required areas. We found that the service was providing good care. The overall rating for Place Farm House is ‘good’.

Place Farm House provides accommodation for up to twenty older people, some of whom are living with dementia and who may need support with their personal care needs. On the day of our inspection, there were 19 people living at the service. The service is a large property situated in Patcham, East Sussex. It has a large communal lounge, dining conservatory and gardens.

The provider had arrangements in place for the safe ordering, administration, storage and disposal of medicines. People were supported to get their medicine safely when they needed it.

People were supported to maintain good health and had access to health care services. Accidents and incidents were recorded and analysed and people told us they felt the service was safe. People remained protected from the risk of abuse because staff understood how to identify and report it.

Staff considered people’s capacity using the Mental Capacity Act 2005 (MCA) as guidance. People’s capacity to make decisions had been assessed. 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. The provider was meeting the requirements of the Deprivation of Liberty Safeguards (DoLS).

People felt staff were skilled to meet their needs and provide effective care. Additionally, people enjoyed taking part in meaningful and appropriate activities in the service.

People were encouraged to express their views. Feedback received showed people were satisfied overall, and felt staff were friendly and helpful. People also said they felt listened to and any concerns or issues they raised were addressed.

Staff supported people to eat and drink and they were given time to eat at their own pace. People’s nutritional needs continued to be met and they reported that they had a good choice of food and drink.

The service had a relaxed and homely feel. Everyone we spoke with spoke highly of the caring and respectful attitude of a consistent staff team and this was observed throughout the inspection.

People’s individual needs were assessed and care plans were developed to identify what care and support they required. People were consulted about their care to ensure wishes and preferences were met. Staff worked with other healthcare professionals to obtain specialist advice about people’s care and treatment.

Staff felt fully supported by management to undertake their roles. Staff were given training updates, supervision and development opportunities. People and staff found the management team approachable and professional.

The provider undertook quality assurance reviews to measure and monitor the standard of the service and drive improvement.

Inspection areas

Safe

Good

Updated 9 November 2017

The service was safe.

Medicines were managed and administered safely.

Staff understood their responsibilities in relation to protecting people from harm and abuse.

Potential risks were identified, appropriately assessed and planned for.

The provider used safe recruitment practices and there were enough skilled and experienced staff to ensure people were safe and cared for.

Effective

Good

Updated 9 November 2017

The service was effective.

People spoke highly of members of staff and were supported by staff who received appropriate training and supervision.

People were supported to maintain their hydration and nutritional needs. Their health was monitored and staff responded when health needs changed.

Staff had a firm understanding of the Mental Capacity Act 2005 and the service was meeting the requirements of the Deprivation of Liberty Safeguards.

Caring

Good

Updated 9 November 2017

The service was caring.

People were supported by kind and caring staff.

People were involved in the planning of their care and offered choices in relation to their care and treatment.

People’s privacy and dignity were respected and their independence was promoted.

Responsive

Good

Updated 9 November 2017

The service was responsive.

Care plans accurately recorded people’s likes, dislikes and preferences. Staff had information that enabled them to provide support in line with people’s wishes.

People were supported to take part in meaningful activities.

Well-led

Good

Updated 9 November 2017

The service was well led.

There were effective systems in place to assure quality and identify any potential improvements to the service being provided.

Forums were in place to gain feedback from staff and people. Feedback was regularly used to drive improvement.

People and staff spoke highly of the registered manager. The provider promoted an inclusive and open culture and recognised the importance of effective communication.