The inspection took place on 27 March 2015 and was unannounced. At our previous inspection on 26 January 2013 the service was meeting the regulations.
The service is an assessment centre that provides short term accommodation and personal care for up to eight younger adults who may have learning disabilities or autistic spectrum disorder, a physical disability or sensory impairment. People live at the home for a short time period to develop their skills to assist them to live as independently as possible when they move to a permanent home.
At the time of our inspection five people lived at the home. 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. On the day of our inspection we met with the home manager, who was responsible for the day to day running of the home as directed by the registered manager.
People we spoke with told us they felt safe living at the home. The provider had policies and procedures in place to minimise risks to people’s safety in relation to the premises, medicines and equipment. All the staff we spoke with understood their responsibilities to protect people from harm.
People were supported to assess risks to their health and welfare and to write a care plan that minimised the identified risks. The care plans we looked described the identified risks and the actions people and staff should take to minimise risks. Support workers understood people’s needs and abilities because they shadowed experienced staff until they knew people well.
There were enough staff on duty to meet people’s practical and social needs. The manager checked staff’s suitability to work one-to-one with people during the recruitment process.
The manager checked that the premises were well maintained and equipment was regularly serviced to minimise risks to people’s safety. People’s medicines were managed, stored and administered safely.
Staff received training and support that ensured people’s needs were met. Staff had opportunities to reflect on their practice and learn from other staff.
The manager understood their responsibility to comply with the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). No one was under a DoLS at the time of our inspection. For people who were assessed as not having capacity for their everyday decisions, records showed they were represented by other health professionals or an advocate who made decisions in their best interests.
We saw people could choose their own meals and staff encouraged them to eat a regular, nutritionally balanced diet. Staff encouraged people to develop their skills by supporting people to plan, prepare and cook food and to consider mealtimes as an opportunity to socialise.
Staff monitored and recorded people’s moods, appetites and behaviours so they knew when people might be at risk of poor health. Staff supported people to obtain advice and support from other health professionals when their health needs changed.
We saw staff understood people who were not able to communicate verbally and supported them with kindness and compassion. Staff reassured and encouraged people in a way that respected their dignity and promoted their independence.
People told us they discussed and agreed how they would like to be supported. Support was planned to meet people’s individual needs, abilities and preferences. Care plans were regularly reviewed and changed as people’s needs or abilities changed.
People who lived at the home, their relatives and other health professionals were encouraged to share their opinions about the quality of the service to make sure improvements were made when needed.
The provider’s quality monitoring system included regular checks of people’s care plans, medicines administration and staff’s practice. Accidents, incidents, falls and complaints were investigated and actions taken to minimise the risks of a re-occurrence.