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Inspection Summary


Overall summary & rating

Good

Updated 9 August 2017

Harmony House is registered to provide accommodation for people who require nursing or personal care to a maximum of 37 people. At the time of inspection 28 people were using the service. Support is provided to younger adults with mental health needs and older adults who live with dementia or a learning disability. Nursing care is not provided and any needs in relation to nursing care are met by the local community nursing services.

At the last inspection in April 2015 we had rated the service as Good. At this inspection we found the service remained Good and met each of the fundamental standards we inspected.

People said they were safe and staff were kind and approachable. There were sufficient staff to provide safe and individual care to people. We considered more ancillary hours were needed to maintain the cleanliness of the building. This has been addressed and ancillary hours have been increased.

People were protected as staff had received training about safeguarding and knew how to respond to any allegation of abuse. When new staff were appointed, thorough vetting checks were carried out to make sure they were suitable to work with people who needed care and support.

Appropriate training was provided and staff were supervised and supported. People were able to make choices where they were able about aspects of their daily lives. We advised people's decision making could be further encouraged with the use of visual prompts where they no longer responded to verbal prompts. People did not always receive a varied and balanced diet to meet peoples’ nutritional needs. This has been addressed and new menus have been devised with people.

People had access to health care professionals to make sure they received appropriate care and treatment. Staff followed advice given by professionals to make sure people received the care they needed. Systems were in place for people to receive their medicines in a safe way.

Risk assessments were in place and they accurately identified current risks to the person. People’s privacy and dignity were respected. Records were in place that reflected the care that staff provided. People said staff were kind, patient and caring. Activities and entertainment were available for people.

There was a good standard of record keeping to help ensure people received person centred care. Communication was effective amongst staff but we considered a written handover would assist in ensuring people's health and well-being were appropriately monitored.

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.

Staff and people said the management team were approachable. They were positive about the changes that were being made within the home. Communication was effective to ensure staff and people were kept up to date about any changes in the running of the service.

A complaints procedure was available. People told us they would feel confident to speak to staff about any concerns if they needed to. The provider undertook a range of audits to check on the quality of care provided.

People had the opportunity to give their views about the service. They were supported to maintain some control in their lives. There was consultation with people and staff and their views were used to improve the service. People had access to an advocate if required.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 9 August 2017

The service remains good.

Effective

Good

Updated 9 August 2017

The service remains good.

Caring

Good

Updated 9 August 2017

The service remains good.

Responsive

Good

Updated 9 August 2017

The service remains good.

Well-led

Good

Updated 9 August 2017

The service remains good.