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Inspection Summary


Overall summary & rating

Good

Updated 4 January 2019

We inspected this service on 13 December 2018. The inspection was announced and carried out by one inspector and an expert by experience.

The service provides domiciliary care and supported living to people in their own homes. Ten people were tenants at St Vincent’s House and five people had their own homes in the local community.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

There was a registered manager in post. 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 last inspection in February 2016 we rated the service as Good. At this inspection, we found the overall quality of the care had been maintained and people continued to receive a service that was safe, caring, effective and responsive to their needs. However, the registered manager had not met their legal obligation to send us statutory notifications about specific events as required. The rating for the key area Well Led is now Requires Improvement. The overall rating continues to be Good.

People felt safe with staff in their own homes. Risks had been assessed and staff knew how to keep people safe and minimise risks of harm and injury. Staff had been trained in safeguarding people and knew how to report concerns. People received their care and support at the agreed times. Staff knew what action to take in the event of an emergency. The provider checked staff’s suitability to deliver care and support during the recruitment process.

Staff respected people’s choices about how they wanted to be supported. People were encouraged and supported to maintain good health through healthy eating and attending healthcare appointments. People received their prescribed medicines from trained staff. Staff had received training in the Mental Capacity Act 2005 and worked within the principles of the Act. Managers understood their responsibilities under the Act and when ‘best interests’ meetings should take place.

Staff were compassionate, kind and caring toward the people they supported. People’s privacy and dignity was respected and staff took opportunities to promote people’s independence. People were complimentary about the service and had no complaints. Staff felt valued and supported by the provider and registered manager and were happy in their job role.

The registered manager and provider checked the quality of the service to make sure people’s needs were met safely and effectively. Feedback was encouraged from people. The registered manager and provider did not understand their regulatory responsibilities to the local authority or the Care Quality Commission.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 4 January 2019

The service remains Good.

Effective

Good

Updated 4 January 2019

The service remains Good.

Caring

Good

Updated 4 January 2019

The service remains Good.

Responsive

Good

Updated 4 January 2019

The service remains Good.

Well-led

Requires improvement

Updated 4 January 2019

The service was, overall, Well Led. However, statutory notifications were not sent to us as required.

Staff felt well supported. The provider had a system of checks and audits so that improvements, where needed, were identified and actions taken.