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Inspection Summary


Overall summary & rating

Good

Updated 2 November 2018

We carried out an unannounced inspection of Endsleigh Care Limited on 10 October 2018. At our last inspection on 17 February 2016, the service was rated ‘Good’. However, we found the home was not always ‘Responsive’ because people’s outcomes and goals for the support they received that were identified in their care plans, were not up to date or were incomplete. At this inspection, we found that this issue had been addressed and the home remained ‘Good’.

Endsleigh Care Ltd is a care home. 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.

It is a care home for up to 11 people with mental health needs. At the time of our inspection, the home was fully occupied, although one person was staying in the home for a short period.

The environment was safe and works were being carried out to protect the home from fire risks. We made a recommendation for people’s individual evacuation plans to be updated following the works. There were procedures to control infections and the home was clean and suitable for peoples’ needs. Accidents and incidents in the home were used to learn lessons so they were minimised in future.

Staff knew how to keep people safe and understood safeguarding procedures to protect people from abuse. Risks to people were identified and there was guidance in place for staff to minimise these risks. People were supported by staff who had received training to ensure they had the skills to support them.

There were enough staff on duty to support people. Recruitment processes were safe, which ensured that staff were suitable to work with people who needed support. Systems were in place to ensure medicines were administered safely and when needed.

People’s nutritional needs were met. Staff worked with health and social care professionals, such as community psychiatric nurses and GPs, to ensure people remained healthy.

People were supported to have choice and remain as independent as possible. The service was compliant with the principles of the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards. People and relatives were involved in decisions about their care.

Staff were attentive to people’s needs and supported them to maintain their personal care and engage in the community with activities and vocational work that they enjoyed. Staff were responsive to people and knew them well. The staff were caring and treated people with respect. People's privacy and dignity were maintained. People were involved in the review of their care plans, which were personalised. They were able to provide feedback and make suggestions about what they wanted from the home.

Staff felt supported by the registered manager and told us the home was well-led. Quality assurance systems were in place. The registered manager ensured the service was monitored regularly and was supported by an external consultant.

Inspection areas

Safe

Good

Updated 2 November 2018

The service remained safe.

Effective

Good

Updated 2 November 2018

The service remained effective.

Caring

Good

Updated 2 November 2018

The service remained caring.

Responsive

Good

Updated 2 November 2018

The service was responsive.

Care plans were person centred and contained up to date information on people�s goals and aspirations. Their support needs and preferences were discussed with them. These were reflected in their care plans.

People had a programme of activity in accordance with their individual choices. These included their employment and education commitments.

People using the service were encouraged to express their views. Complaints were responded to appropriately.

Well-led

Good

Updated 2 November 2018

The service remained well-led.