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The Old Registry Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 4 February 2020

About the service:

The Old Registry is a residential care home, registered to provide care and support for up to nine adults with learning disabilities in one adapted building. Eight people were using the service at the time of inspection.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service and what we found

People’s medicines were not always managed safely because there were instances where prescribed medicines had been administered but not signed for. We also found people had not received their medicines as prescribed. This meant that procedures for administration of medicines were not being followed which put people at risk.

During the inspection we noted there was not an up to date gas certificate in place and three fire doors did not close against the frames and again this put people, staff and visitors to the service at risk. The provider had a range of audit and quality assurance procedures. However, we found these were not robust and had not identified the issues we found.

People were positive about the care and support they received from staff. There were safeguarding procedures in place. Staff had received training of what constituted abuse and how to report any concerns to keep people safe. Risks associated with people's care and support had been assessed. There was guidance to keep people safe. People were protected by safe recruitment procedures and there were enough staff to meet their needs. They were protected from the risks associated with the spread of infection.

People were supported by staff who had received appropriate training and support. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People's needs were assessed before they started to use the service. People were encouraged to have a healthy diet.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

Staff knew people who used the service, well and they provided care and support to them in a kind and compassionate way. People were treated with respect and were given information regarding their care and their views were taken into account. The service had a confidentiality policy in place. Staff was aware that people's information should be treated confidentially.

People received care and support in accordance with their preferences, interests and diverse needs. Care plans contained information about people's needs and were reviewed regularly to ensure people received the care and support they needed. Staff encouraged people to take part in activities of their choice and this helped to ensure they were not socially isolated. The provider had a complaints policy in place which included who to contact to raise a complaint and how it would be dealt with.

The registered manager operated an open and inclusive culture where people, relatives, staff and other professionals were encouraged to help improve the service provided to people. Staff had access to a range of policies and procedures and this helped them to carry out their role. The registered manager worked in partnership with other organisations to s

Inspection areas

Safe

Requires improvement

Updated 4 February 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 4 February 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 4 February 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 4 February 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 4 February 2020

The service was not always well-led.

Details are in our well-led findings below.