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Inspection Summary


Overall summary & rating

Good

Updated 23 June 2017

This inspection took place on the 23 May 2017 and was unannounced. At our previous inspection in August 2014, we found that the provider was compliant with the regulations we checked.

Peel way is registered to accommodate six people with multiple learning and physical disabilities. People are accommodated in a purpose built house.

The provider of the service is an organisation called The Avenues Group. The home had 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.

People were safe at the service and were cared for by staff who were knowledgeable about safeguarding people. They knew how to report concerns. Medicines at the home were managed safely by staff who were trained and assessed as competent.

Care plans we looked at included specific risk assessments which identified risks associated with people’s care and guided staff about how to minimise risks in order to keep people safe.

Staff were supported through regular supervision and received an annual appraisal of their practice and performance.

There were sufficient qualified and experienced staff. Staff received the support and training they needed to provide an effective service that met people’s needs. The staffing levels were flexible to support with planned activities and appointments.

The recruitment process was robust to make sure that the right staff were recruited to keep people safe. Staff confirmed and personnel records showed that appropriate checks were carried out before they began working at the service.

Staff had received Mental Capacity Act 2005 (MCA) training and understood the systems in place to protect people who could not make independent decisions. The service followed the legal requirements outlined in the MCA and the Deprivation of Liberty Safeguards (DoLS).

People were supported to have a nutritionally balanced diet and had adequate fluids throughout the day to promote their health and wellbeing.

People were supported to see specialist healthcare professionals according to their needs in order to ensure their health and well being were adequately maintained.

People were looked after by staff who understood their needs, were caring, compassionate and promoted their privacy and dignity.

Care plans reflected people’s specific, individual needs and wishes and were regularly reviewed and updated according to people’s changing needs.

A pictorial complaints procedure was available. People’s relatives were made aware of the complaints procedure and they knew who to speak with if they had any concerns.

Systems were in place to evaluate and monitor the quality of the service and there was continued monitoring of the progress made where actions were identified.

Inspection areas

Safe

Good

Updated 23 June 2017

The service was safe. Risks were clearly identified with strategies in place to minimise risk. This enabled staff to support people safely.

People were supported by staff to receive their medicines safely by trained and competent staff.

Systems were in place to ensure that people were supported safely by staff. There were enough staff available to do this.

People were protected by the provider’s recruitment process.

Effective

Good

Updated 23 June 2017

The service was effective. Systems were in place to ensure that people were not unlawfully deprived of their liberty.

People were supported by staff who had the necessary skills and knowledge to meet their needs. The staff team received the training they needed to ensure they supported people safely and competently.

People’s healthcare needs were met.

Caring

Good

Updated 23 June 2017

The service was caring. People were treated with kindness and their privacy and dignity were respected.

People received care and support from staff who knew about their needs, likes and preferences. They were encouraged to be as independent as possible.

Staff were attentive to people’s needs. They provided care and support to people in a way they understood.

Responsive

Good

Updated 23 June 2017

The service was responsive. People were encouraged to make choices about their daily lives.

Individualised care plans gave clear information to staff about how people liked and needed to be supported.

Any complaints or concerns were listened to and addressed satisfactorily by

the service.

Well-led

Good

Updated 23 June 2017

The service was well-led. The provider’s quality assurance systems ensured that people received a safe and effective service.

People were very happy with the way the service was managed and with the quality of service.

Staff told us they were well supported by the management team.