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Inspection Summary


Overall summary & rating

Good

Updated 18 September 2018

This inspection took place on 15 August 2018 and was unannounced. The last inspection of the service was on 17 and 19 February 2016 when we found the service was meeting the fundamental standards and rated it as good.

The provider, Consensus Support Services Limited, provides support and accommodation for individuals with a learning disability, autism and complex needs. 46 The Grove is a care home that provides care and accommodation for up to seven people with a learning disability. 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. 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.

The service has a registered manager who also manages another of the provider’s locations at 48 The Grove. 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.

The provider had systems to keep people safe from abuse. Staff understood these and had completed safeguarding training.

The provider assessed possible risks to people and acted to mitigate any risks they identified.

People received the medicines they needed safely and as prescribed. Care staff understood people’s nutritional care needs and made sure they received varied and nutritious meals in the service. People received support with their health care needs from their GP, other NHS services and specialist learning disability services.

There were enough care staff to meet people’s support needs. The provider carried out checks on new staff to make sure they were suitable to work in the service. Care staff had the training they needed to provide effective care and support to people using the service.

The service provided a good standard of accommodation with sufficient private and communal space for people to spend time on their own or with others.

Care staff sought consent from people when they provided care and support. People were not deprived of their liberty unlawfully.

Care staff were kind and caring. They understood the care needs of people they supported and treated them with respect and compassion.

People’s care records showed that care staff involved them in making decisions about their care and support.

Throughout the inspection we saw that care staff respected people’s privacy and dignity and encouraged independence.

The registered manager, team leaders and care staff assessed and reviewed people’s care needs. People had a person-centred support plan that reflected their wishes and aspirations.

People’s support plans included information about their cultural and religious support needs.

The provider had a policy and procedures for responding to any complaints they received.

The service had a manager who registered with the Care Quality Commission (CQC) in 2012.

Care staff told us they felt supported and the service was well led.

The provider consulted people using the service, their relatives and representatives and care staff about the care and support people received and ways they could improve service delivery.

The provider had a clear strategy, aim and vision for the continued improvement of people's lives.

Inspection areas

Safe

Good

Updated 18 September 2018

The service was safe.

The provider had systems to keep people safe from abuse. Staff understood these and had completed safeguarding training.

The provider assessed possible risks to people and acted to mitigate any risks they identified.

People received the medicines they needed safely and as prescribed.

There were enough care staff to meet people’s support needs. The provider carried out checks on new staff to make sure they were suitable to work in the service.

Effective

Good

Updated 18 September 2018

The service was effective.

Care staff had the training they needed to provide effective care and support to people using the service.

Care staff understood people’s nutritional care needs and made sure they received varied and nutritious meals in the service.

People received support with their health care needs from their GP, other NHS services and specialist learning disability services.

The service provides a good standard of accommodation with sufficient private and communal space for people to spend time on their own or with others.

Care staff sought consent from people when they provided care and support. People were not deprived of their liberty unlawfully.

Caring

Good

Updated 18 September 2018

The service was caring.

Care staff were kind and caring. They understood the care needs of people they supported and treated them with respect and compassion.

People’s care records showed that care staff involved them in making decisions about their care and support.

Throughout the inspection we saw that care staff respected people’s privacy and dignity and encouraged independence.

Responsive

Good

Updated 18 September 2018

The service was responsive.

The registered manager, team leaders and care staff assessed and reviewed people’s care needs. People had a person-centred support plan that reflected their wishes and aspirations.

People’s support plans included information about their cultural and religious support needs.

The provider had a policy and procedures for responding to any complaints they received.

Well-led

Good

Updated 18 September 2018

The service was well led.

The service had a manager who registered with the Care Quality Commission (CQC) in 2012.

Care staff told us they felt supported and the service was well led.

The provider consulted people using the service, their relatives and representatives and care staff about the care and support people received and ways they could improve service delivery.

The provider had a clear strategy, aim and vision for the continued improvement of people's lives.