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Inspection Summary


Overall summary & rating

Good

Updated 8 July 2017

This inspection took place on 2 June 2017 and was announced in advance.

Honeysuckle Cottage is one of eight small services operated by the provider which provide support and accommodation for people living with a learning disability. The service can accommodate up to four people. At the time of this inspection four people were living in the home.

There was no registered manager in post at the time of this inspection. 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.

At our previous inspection in June 2016 we found that the provider was in breach of one regulation of the Health and Social Care Act 2008 (Regulated Activities) 2014 which related to the safety of care and treatment. At this June 2017 inspection we found that improvements had been made and that robust systems were in place relating to medicines management and environmental risk assessments. Consequently, the provider was no longer in breach of this regulation.

People living in the home were safe. Staff understood what the risks were to each individual and plans were in place to eliminate or reduce any risks as far as possible. There was enough staff to meet people’s needs and provide them with person-centred care. Medicines were safely managed and people received them as prescribed.

Staff received training to ensure that they could provide effective and appropriate care and support to people. Assessments of people’s capacity to make their own decisions about their care had been completed and their rights were protected. People’s healthcare needs were well managed.

Staff were caring and friendly and had developed good relationships with people living in the home. Staff were responsive to people’s needs and helped them maintain as much independence as possible. People were supported to make their own decisions about how they spent their time in and outside of the home. They were encouraged to maintain and develop appropriate social contacts.

The service had been without a registered manager for over 18 months and had seen four changes of manager since the last registered manager had been in post. The provider needed to ensure that post holders applied for registration when they took up their role.

Inspection areas

Safe

Good

Updated 8 July 2017

The service was safe.

People received their medicines when they needed them and medicines management arrangements in place were safe.

Risks to people�s welfare were identified and acted upon to help keep people safe.

There was enough staff to meet people�s needs and support them to have a good standard of life.

Effective

Good

Updated 8 July 2017

The service was effective.

People were cared for by staff who received appropriate training and support.

Staff understood and applied the principles of the Mental Capacity Act 2005 when supporting people.

People had access to a wide range of health care professionals and were supported to attend health appointments.

Caring

Good

Updated 8 July 2017

The service was caring.

Staff were friendly and respectful to people and knew the people they cared for well.

People�s privacy and dignity was respected, as was their right to make their own decisions.

Responsive

Good

Updated 8 July 2017

The service was responsive.

People�s needs were assessed and care and support was planned in accordance with people�s wishes.

The service had procedures in place to address complaints.

Well-led

Requires improvement

Updated 8 July 2017

The service was not consistently well led.

There had been no registered manager at the service for over 18 months.

Auditing systems were robust and identified where improvements were required.