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The Next Step Trust - Respite Good

Inspection Summary


Overall summary & rating

Good

Updated 14 September 2018

The Next Step Trust- Respite provides a service for up to three people with learning disabilities. At the time of the inspection one person was going home after a short stay and another person was commencing a short stay. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided and both were looked at during this inspection. This was the first inspection.

The inspection took place on 23 and 25 July 2018 and was announced which meant the provider knew we would be visiting.

A registered manager was 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.

Staff were confident people were safe and if any concerns were reported to the management team, they would respond promptly and appropriately. The provider had systems in place to manage risk to people and the environment although we identified some potential hazards. Swift action was taken when we brought these to their attention. The registered manager revised their health and safety checklist to make sure similar issues would not arise in future.

Staffing arrangements were appropriate and ensured people received care from a consistent workforce. Medicines were usually well managed; the provider agreed to introduce additional guidance around assisting people with non-prescribed medicines and competency assessments for staff to make sure they understood how to administer medicines safely.

Staff told us they felt well supported and received good quality training. All staff had received an introduction to the service to ensure they understood what was expected when they supported people during their respite stay. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. People received appropriate support to make sure their nutritional and health needs were met during their stay. People stayed in a pleasant and spacious environment; equipment was in place to make sure they were comfortable and their needs were met.

People who used the service and relatives told us the service was caring. We observed people were treated with kindness and respect. Staff who worked at the respite service also worked at the provider’s day service, and people usually used both services. This meant staff knew people well. Staff told us they enjoyed working at the respite service and were confident people received high quality, person centred care. They understood what constituted good care, for example, promoting independence and ensuring people had privacy during personal care.

People received person centred care. There was guidance which ensured staff knew how to provide care that met people’s needs. People who used the service and relatives told us they would be comfortable raising concerns with the management team.

The service was well led. The registered manager was knowledgeable about the day to day running of the service as well as their overall legal responsibilities. They were supported by an effective management team. The provider had systems in place to monitor the quality of the service and people were encouraged to share their views to help drive improvement.

Further information is in the detailed findings below.

Inspection areas

Safe

Requires improvement

Updated 14 September 2018

The service was not always safe.

The environment was clean and well maintained. The registered provider took swift action when we identified some environmental issues that had been overlooked. They revised their health and safety checklist to make sure these were included in future.

There were enough staff on duty to make sure people received the appropriate level of care and support.

Medicines were usually managed safely; additional checks were being introduced to make sure staff had guidance around assisting people with non-prescribed medicines and their competency to administer medicines was assessed.

Effective

Good

Updated 14 September 2018

The service was effective.

Staff received training and support to help them understand how to do their job well.

People were supported to make decisions about their care and received appropriate support when they lacked capacity to make certain decisions.

People received appropriate support to make sure their nutritional needs and preferences were met.

Caring

Good

Updated 14 September 2018

The service was caring.

People told us the service was caring and personalised.

Staff knew people well and were confident the service achieved a high standard of care.

The service focused on good care principles.

Responsive

Good

Updated 14 September 2018

The service was responsive.

People�s needs were assessed, and their care and support was planned and reviewed.

People were enabled to carry out person centred activities.

People were comfortable talking to staff and management about any issue and concerns.

Well-led

Good

Updated 14 September 2018

The service was well-led.

We received positive feedback about the management team.

The registered provider had systems in place for monitoring quality and safety; they were responsive when areas for improvement were identified and introduced changes to make sure their processes were effective.

People who used the service and staff were encouraged to share their views and put forward suggestions.