You are here

The partners registered to provide this service have changed - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 23 August 2017

This inspection took place on 26 July 2017. The inspection was unannounced.

Veedale is registered to provide accommodation for up to 20 people over the age of 18 with a diagnosis of a learning disability, autistic spectrum, physical disability, sensory impairment and living with a dementia. At the time of our inspection there were 20 people in receipt of care from the service.

The service had a registered manager in post. 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.

At the last comprehensive inspection on 7 January 2015 the service was rated as good overall and was meeting the regulatory requirements relevant at that time. However we made a recommendation in relation to the management of medicines. We also undertook a follow up inspection on 14 July 2016 as a response to an increase in occupancy in the home. The provider submitted the appropriate application to the Care Quality Commission and the service was rated as good in the Well-led domain. During this inspection we found the service was meeting the requirements of the current legislation.

We saw safe administration of medicines during our inspection. Medicines were stored safely in locked cupboards. There was some evidence of temperature recordings of rooms where medicines were stored however the fridge temperature had not been recorded regularly. A full audit of medicines was undertaken immediately by the registered manager and actions taken to ensure the safe administration, storage and recording of medicines was provided. However we made a further recommendation in relation to Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The safe management of medicines.

We saw evidence of completed investigations into allegations of abuse and staff knew the procedure to take if any concerns were identified.

Individual emergency evacuation plans were in place as well as emergency contingency plans to guide staff about the procedure to take when dealing with an emergency. Environmental and personal risk assessments were completed to guide staff on how to protect people who used the service from unnecessary risks.

Staff told us the training they received from the provider was detailed and comprehensive and enabled them to fulfil their role safely. Records we looked at confirmed relevant and regular training was completed by staff to provide them with the skills they required.

Meals provided to people were varied and nutritious and reflected their choices and individual requirements. Where people required monitoring of their food and fluid intake this had been completed. Relevant referral had been made to professionals such as a dietician and speech and language therapist.

It was clear a variety of health professionals was regularly involved in the review of people’s health and needs.

Staff told us they had received up to date training that supported the delivery of care to people who used the service.

Meals in the home were varied and made fresh daily. Where people requested alternative these were provided by the cook. Where required food and fluid intake were recorded to ensure any changes in people’s condition were identified.

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. Appropriate Deprivation of Liberty Safeguards applications had been submitted to the assessing authority.

Positive, meaningful caring relationships had been developed between staff and people who used the service. It was evident staff knew people’s needs. It was clear people were treated with dignity and resp

Inspection areas

Safe

Good

Updated 23 August 2017

The service was safe.

Staff we spoke with demonstrated their understanding of the signs of abuse and how to respond to these.

Appropriate risk assessments were in place to protect people from risk and keep them safe.

Medicines were administered to people safely and medicines were stored safely. The registered manager responded appropriately to undertake a full audit of medicine which included recording of administration as a result of our findings.

Effective

Good

Updated 23 August 2017

The service was effective.

There was a comprehensive training programme in place to help ensure staff had the knowledge and skills to deliver people’s care.

People received a choice of meals in the home. There was a varied menu in place. Regular monitoring of food and fluid intake was completed.

It was clear a variety of health professionals was regularly involved in the review of people’s health and needs.

Caring

Good

Updated 23 August 2017

The service was caring.

Staff treated people with dignity and respect.

Positive meaningful relationships had been developed between people and staff. It was clear staff knew people’s needs well.

Responsive

Good

Updated 23 August 2017

The service was responsive.

There was a comprehensive and detailed activity programme in place for people who used the service.

Complaints were handled effectively. Staff had guidance on how to deal with a complaint.

Care records were comprehensive detailed and reflected people’s individual needs likes and choice.

Well-led

Good

Updated 23 August 2017

The service was well led.

We received complimentary feedback about the leadership and management in the home.

Quality audits and monitoring was taking place that ensured the home was safely run.

Feedback was obtained from a variety of sources including surveys and staff meetings.