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Inspection carried out on 7 August 2019

During a routine inspection

About the service

Springwood is a residential care home for up to six adults living with a learning disability, and/or autism. At the time of inspection six people were living at the service in one adapted building.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service and what we found

People were safe living at the service. Staff were responsive to the risks people faced. Incidents were robustly reviewed and lessons had been learned when needed. As a result, people had become more settled. There were always enough staff on duty to support people. Medicines were safely managed.

Staff were supported to deliver safe care to people. People were involved with shopping and preparing meals. They had regular access to professionals to support their well-being. The environment had been adapted to meet people’s needs.

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

Positive relationships were observed between people and staff. Staff demonstrated their understanding of people and were able to think outside of the box to ensure people had every opportunity to live fulfilled lives. They had access to all of the resources needed as part of their care.

People received person-centred care and were involved in all aspects of their care. Records were in place to support this. People participated in a wide variety of activities, in-line with their interests. Complaints that had been received and appropriately addressed.

The staff team worked well together to deliver a good service. Quality assurance methods helped to drive improvement. People and staff had a voice and feedback was used to make improvements.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection (and update)

The last rating for this service was requires improvement (Published 20 July 2018) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection carried out on 15 May 2018

During a routine inspection

The inspection took place on 15 and 21 May 2018 and was announced. This meant we gave the provider 24 hours’ notice of our intended visit as this was a small home and we wanted to ensure there would be someone home. This was the first inspection of the service since registering in April 2017.

Springwood is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Springwood accommodates 6 people in one adapted building.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

During this inspection we found medicines administration was not always recorded correctly and policies in place for staff were not available on the day of our inspection. When people were administered ‘as and when required’ medicines directions were not clear and the records to support this type of administration were not adequate.

Medicines were audited regularly but issues were not always found or addressed. Staff competencies were monitored by senior staff but this also didn’t highlight issues found regarding recording.

Care plans were not always sufficiently detailed or clear in giving members of staff relevant information to provide care and support to people. Care plans were reviewed regularly and with the involvement of people who used the service and their relatives.

A programme of audits was carried out by the registered manager these were not always effective at improving the service.

People who used the service were asked for their views about the support through an ongoing exercise, however this wasn’t always recorded. Peoples relatives and other healthcare professionals were not asked for their views via questionnaires or feedback forms, however this was to commence.

The home was clean and well presented however there were no hand washing facilities in the laundry or separate clean and dirty areas to minimise the risk of cross infection.

People were supported to take risks safely and personalised risk assessments were in place to ensure people were protected against a range of risks.

Staff had received safeguarding training and were able to describe types of abuse and what they would do to report concerns and protect people.

The service had a registered manager in place. A registered manager is a person who has registered with the CQC 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. The registered manager had extensive experience of working in the social care sector.

Staff recruitment was carried out safely with robust safety checks in place for new staff.

New staff received induction training and were supported by other staff members until they could work alone.

Support for people was person centred this meant their preferences and dislikes were respected at all times. People had planned goals and were supported to achieve them.

People were supported to have choice and control over their own lives from being supported by person centred care. Person centred care is when the person is central to their support and their preferences are respected.

There were sufficient staff to meet people’s needs safely and in an individualised way.

Staff were trained in safeguarding, first aid, Mental Capacity Act and infection control. Additional training was in place or planned in areas specific to people’s individual needs.

Staff had a good knowledge of people’s likes, dislikes,