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Inspection Summary

Overall summary & rating


Updated 20 September 2017

This comprehensive inspection took place on 14 August 2017. At our previous inspection in March 2016, we identified breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and the service was rated overall Requires Improvement. The breaches related to the provider not having sufficient systems in place for the safe management of medicines. People’s care plans did not have specific risk assessments in place and guidance was not available to staff about how to minimise risks in order to keep people safe.

After the comprehensive inspection, the provider wrote to us to say what they would do to meet legal requirements which had been signed by the registered manager as completed on 13 June 2016.

At this inspection, we found the provider had made the required improvements as outlined in their action plan. The service was now compliant with the requirements of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Neave Crescent is registered to accommodate ten people with profound and multiple learning and physical disabilities. People are accommodated in two adjacent bungalows which are purpose built. At the time of our inspection, the service was providing care and support to nine people.

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 and associated Regulations about how the service is run.

During this inspection, we found that people were protected against the risks associated with the unsafe management and use of medicines. Staff received regular competency checks to ensure they had the correct skills for administering medicines.

Risks to the health and safety of people using the service were assessed and reviewed in line with the provider's policy. Systems were in place to minimise risk, to ensure that staff supported people as safely as possible.

The provider had systems to deal with foreseeable emergencies and there were safeguarding adult's policies and procedures in place. Accidents and incidents were recorded and acted on appropriately. Staff were recruited safely and there were appropriate numbers of staff to meet people's needs.

Staff were knowledgeable about people's individual needs and how best to meet these. Staff had access to the support, supervision, training and on going professional development that they required to work effectively in their roles. The training and support they received helped them to provide an effective and responsive 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 received a person centred service and had detailed personalised plans of care in place. They were supported by kind, caring staff who treated them with respect. Their cultural and religious needs were respected and celebrated.

People were supported to maintain good health and nutrition.

People and their representatives knew how to raise a concern or make a complaint and effective systems were in place to manage complaints.

People lived in an environment that was suitable for their needs. Specialised equipment was available and used for those who needed this.

The quality of the service was monitored by the service's operations manager and the registered manager. The service had a positive ethos and an open culture.

Inspection areas



Updated 20 September 2017

The service was safe.

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

People received their medicines safely from trained and competent staff.

There were safeguarding adult's policies and procedures to protect people from possible abuse and harm.

There were safe staff recruitment practices in place and appropriate numbers of staff to meet people's needs.



Updated 20 September 2017

The service was effective.

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.

There were systems in place which ensured the service complied with the Mental Capacity Act 2005 (MCA 2005). This provides protection for people who do not have capacity to make decisions for themselves.

People's nutritional needs and preferences were met.



Updated 20 September 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.



Updated 20 September 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.



Updated 20 September 2017

The service was well-led.

There were systems and processes in place to monitor and evaluate the service provided.

People using the service and their relatives were asked for their views about the service through satisfaction surveys.

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