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Inspection Summary


Overall summary & rating

Good

Updated 1 August 2017

The service is registered to provide care for up to three people living with mental health needs or learning disabilities. At the time of our inspection two people were living at the service.

At our last inspection in April 2015, the service was rated ‘Good’. At this inspection we found that the service remained ‘Good’ for being safe, caring, responsive and well-led, however ‘Requires Improvement’ was identified for effective.

We found inconsistencies in how the Mental Capacity Act 2005 (MCA) was being applied. Where people lacked mental capacity to consent to specific decisions about their care and support, appropriate action in accordance with MCA had not always been taken. The registered manager was already aware of this shortfall. MCA training had already been planned for staff including the registered manager.

The storage and management of medicines were found to be correct but the administration of one particular medicine had not always been administered as required. The registered manager took immediate action to address this issue.

People’s needs had been assessed and care plans were in place to support staff of how to meet people’s needs. Information about one person’s particular health condition did not have a care plan or risk assessment completed. However, staff were able to tell us about this condition and how they supported the person. Some people had periods of high anxiety that affected their mood and behaviour. The strategies in place to guide staff of how to support people were found to lack specific detail and instruction. The registered manager took immediate action and addressed this concern.

Staff had access to the support, supervision and training that they required to work effectively in their roles. People were supported to maintain good health and nutrition.

People continued to receive safe care. They were supported by staff who knew how to recognise and report any signs that people were abused or at risk of abuse. The provider had procedures in place for staff to report concerns and for those concerns to be investigated and acted upon.

Staff were appropriately recruited and there were enough staff to provide care and support to people to meet their needs. People were supported by staff that were caring and treated them with dignity and their privacy was respected. People’s independence was promoted within the service.

People were supported to live the life that they chose and care plans supported staff to provide a person centred approach.

People and their relatives felt they could raise a concern and the provider had systems to manage any complaints that they may receive.

The provider had arrangements in place for monitoring and assessing the quality of care people experienced. These included seeking and acting upon the views for people who used the service and others.

Inspection areas

Safe

Good

Updated 1 August 2017

The service remains Good

Effective

Requires improvement

Updated 1 August 2017

The service was not consistently effective

The principles of the Mental Capacity Act (2005) had not always been followed. Behavioural strategies lacked clear guidance for staff.

People’s health care needs were known by staff but written instruction available to inform and support staff was not always completed.

People were supported to attend health appointments and they had their nutritional needs met and a choice of meals provided.

People were supported by staff that had completed an induction and received ongoing training and support.

Caring

Good

Updated 1 August 2017

The service remains Good.

Responsive

Good

Updated 1 August 2017

The service remains Good.

Well-led

Good

Updated 1 August 2017

The service remains Good.