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Inspection report

Date of Inspection: 30 July 2014
Date of Publication: 6 September 2014
Inspection Report published 06 September 2014 PDF

Overview

Inspection carried out on 30 July 2014

During a routine inspection

One adult social care inspector carried out this inspection. The focus of the inspection was to answer the five key questions; is the service safe, effective, caring, responsive and well-led?

Below is a summary of what we found. The summary describes what people using the service, their relatives and staff told us, what we observed and what records we looked at.

If you want to see the evidence that supports our summary, please read the full report.

Is the service safe?

Risk assessments were seen to be thorough and individualised for each person living at Joyleen. There was a thorough analysis of the risks and guidance was provide for staff regarding risk management plans.

The service was safe, clean and hygienic because the environment was observed to be clean and well maintained with good infection control monitoring procedures in place.

Staff and management understood the requirements of the Mental Capacity Act (2005) and the Deprivation of Liberties Safeguards. There was comprehensive documentation to support this. People�s capacity had been assessed and only where there was a lack of capacity were decisions made on their behalf in best interests meetings.

Is the service effective?

People�s health and social care needs were assessed before they came to live at Joyleen. Subsequently they were seen to be involved in the developing of their care plans. People said �I decide what I do each day� and �We choose what is on the menu each week and we go shopping to buy the food we need�.

People told us that they were very happy with the care provided and that they liked the independence they were encouraged to maintain.

Is the service caring?

People were treated with dignity and respect. People told us that they liked living at Joyleen. Staff were observed interacting with people in a humane and caring way, listening to their views and responding to them appropriately.

People�s preferences, interests, wishes, aspirations and diverse needs were recorded in their care plans. This meant that care and support was provided in accordance with their wishes.

Staff said that the care plan documentation was straightforward to understand. This meant that care and support was delivered in way that met the individual's needs.

Is the service responsive?

People who used the service were seen to express their views to staff about how they wished to spend their day. There were also notes of meetings between staff and people who use the service which demonstrated that ideas were put forward by people and these views were taken into account when plans for activities were made.

Is the service well-led?

The provider had a quality assurance system which evaluated each of the key outcomes monitored by the Care Quality Commission. This system included an action plan to meet any plans for improvement of the service.

The service worked well with other agencies such as the Community Mental Health Team and the Community Learning Disability Team.

The staff rota was organised to ensure that there were sufficient staff with the right knowledge, skills and experience so that people were safe and received good quality care.