Background to this inspection
Updated
18 January 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 25 and 27 October 2017 and was unannounced. The inspection team consisted of an adult social care inspector.
Before our unannounced inspection, we checked the information we held about the service. This included notifications the provider sent us about incidents that affect the health, safety and welfare of people who lived at the home. Additionally, we looked at the Provider Information Return (PIR) the provider had sent us. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also contacted other health and social care organisations such as the commissioning department at the local authority. This helped us to gain a balanced overview of what people experienced living at the home.
We spoke with a range of individuals about this home. They included two people who lived at the home and one person’s relative. We further discussed care with the registered manager and three staff members.
We looked around the building to check environmental safety and cleanliness. We also spent time reviewing records. We checked documents in relation to three people who lived at the home and one newly recruited member of staff. We looked at records about staff training and support, as well as those related to the management and safety of the home.
Updated
18 January 2018
Spout House Support Services Limited is a care home registered to accommodate up to five people who have a learning disability and, or living with mental health conditions. The home is set in a rural location. All bedroom accommodation is for single occupancy. The service aims to provide an environment that encourages people to maintain and extend their existing skills and abilities.
At the last inspection on 16 July 2015, the service was rated ‘Good’. At this inspection, we found the service remained ‘Good’.
We found high standards of cleanliness at the home. People and a relative told us they felt safe whilst living at the home. We saw evidence staff received training in safeguarding people from abuse or poor practice. People’s environmental and personal safety was monitored by closely by staff.
Staff files contained evidence the registered manager had undertaken checks to reduce the risk of recruiting unsuitable staff. People and staff we spoke with said there were sufficient staffing numbers to meet people’s needs.
The team leader carried out regular medication audits and raised any issues with the registered manager. The registered manager completed risk assessments and provided staff with relevant training around medicines. We observed staff administered medicines safely.
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.
We observed staff supported people with patience, compassion and a friendly attitude. People we spoke with and a relative told us staff involved them in support and care planning. The registered manager supported people to access advocacy services if people wanted someone independent to act on their behalf.
Care records we looked at were detailed and personalised to people’s requirements. We observed staff followed agreed support in practice. This ensured responsive care planning matched people’s ongoing needs.
The registered manager sought feedback about the quality of care and the home’s development. This was underpinned by ongoing checks on the quality of the service, to monitor everyone’s safety and welfare.