7 March 2019
During a routine inspection
People's experience of using this service:
¿ Children and young people using the service were supported by kind and supportive staff. Relatives provided positive feedback about the caring relationships staff had developed with their family members
¿ The needs of children, young people and family members were considered by a panel of health and social care professionals before being referred to the service.
¿ Outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways. People's care and support was person-centred, proactive and coordinated. Support and interventions were provided in the least restrictive way and children and young people were supported to partake in meaningful and enjoyable activities.
¿ Each person using the service had a comprehensive care and support plan in place. Staff supported people to manage behaviours that may challenge others in line with best practice.
¿ Generic risk assessments were completed for each person using the service. Some sections of people's care and risk management plans were not always kept up to date. Following our inspection the manager provided us with further detailed risk assessments where children and young people are participating in specific leisure activities.
¿ Staff completed safeguarding training and understood how to safeguard children and young people from the risk of possible abuse.
¿ Staff completed an induction period that included shadowing more experienced members of staff before working with children and young people on their own. Staff told us they were well supported by the management team.
¿ Staff demonstrated an understanding of consent and capacity issues in relation to mental health legislation.
¿ People were supported to eat and drink enough where this formed part of an agreed package of care.
¿ The service was working in partnership with other agencies, services and providers.
¿ When incidents had taken place or complaints had been received, the manager acted on these and investigated what had taken place.
¿ Incidents, accidents, concerns and complaints were discussed at team meetings and in supervision sessions with a view to promoting understanding and learning.
¿ The manager was aware that quality assurance systems required further development to ensure the service was consistently safe and effective.
Rating at last inspection: This is the first inspection we have carried out since the provider registered with the Care Quality Commission in April 2018.
Why we inspected: This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.
Enforcement: We found a breach of the regulations in relation to good governance. Please see the ‘action we have told the provider to take’ section towards the end of the report.
Follow up: We will continue to monitor intelligence we receive about this service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk