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Inspection Summary


Overall summary & rating

Good

Updated 27 January 2018

This was the first inspection of this service. It provides care and support to people with mental health needs who have a forensic history.

The service provides care and support to people living in one house so that they can live as independently as possible. 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.

The service had a registered manager, which 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.

People were very positive about living at the service. They told us staff were kind and caring and they felt safe living there. Staff understood about safeguarding people from abuse and what to do if they had any concerns.

People’s needs were identified and responded to well. The service was very effective at working in co-operation with other organisations to deliver good care and support. This included where people’s needs had changed, and where people needed on-going healthcare support.

Risk assessments were drawn up integrating people’s views and care records were person centred. People were encouraged to reach their full potential, and were encouraged to volunteer and find paid work. The registered manager told us people were encouraged to ‘move on’ to independent accommodation from the day they moved in.

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 at the service supported this practice.

People living at the service took responsibility for cleaning communal areas with support from staff and the provider ensured people were protected from the spread of infection.

Medicines were safely managed and people were encouraged to administer their own medicines if they were able.

People living at the service, relatives and health and social care professionals all praised the service and were positive about the activities, the environment and the management of the service.

The service was well led by a proactive provider, registered manager and deputy manager providing management cover. Staff told us they felt well supported and could contribute to how the service was run. Quality audits took place to ensure good standards of care were provided and the electronic care and monitoring system meant that management oversight was prompted and evidenced when incidents occurred.

The provider had a clear vision and credible strategy to deliver high-quality care and support. The strategy was well-embedded at this service. Systems at the service supported continuous learning and improvement.

Inspection areas

Safe

Good

Updated 27 January 2018

The service was safe. Risk assessments were in place and had been developed with input from people living at the service.

Medicines were safely stored and managed and people were supported to safely administer their own medicines.

There were enough staff to support people’s needs and staff were safely recruited.

The provider ensured people were protected from the risk of infection.

Effective

Good

Updated 27 January 2018

The service was effective. The service worked in partnership with other organisations to deliver good care and support.

People were at liberty to leave the premises as they wished.

The service made sure staff had the skills, knowledge and experience to deliver effective care and support.

People managed their own food and meals but staff were available to provide support if necessary.

Caring

Good

Updated 27 January 2018

The service was caring. People were treated with kindness and respect, and were given emotional support when needed.

People’s views were asked in how the service was run.

People’s friends and relatives were able to visit and keep in contact without being unnecessarily restricted.

The service promoted people’s independence and ensured people's privacy and dignity was respected and promoted.

Responsive

Good

Updated 27 January 2018

The service was responsive. People’s changing needs were identified and responded to well.

There were a range of activities at the service and people were encouraged to volunteer and take up paid employment.

People received personalised care that was responsive to their needs.

The service listened and responded to people’s concerns and complaints, and used this to improve the quality of care.

Well-led

Good

Updated 27 January 2018

The service was well-led. The provider had a clear vision to support people to independence.

Systems at the service supported continuous learning and improvement.

The provider, registered manager and deputy provided pro-active management and were well regarded by all stakeholders