30 October 2018
During a routine inspection
The inspection took place on 30 October 2018 and was unannounced. At our last inspection on 26 July 2016 we rated the service good in all domains and overall. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
There was a registered manager at the service. 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.
Appropriate safeguarding systems were in place to keep people safe. Recruitment procedures were robust and staffing levels were appropriate.
Health and safety measures were in place. There was an infection control file in place with guidance for staff to follow. Accidents and incidents were recorded appropriately, and medicines systems were safe.
Care files included all relevant health and personal information and there was evidence that referrals were made to other agencies as required.
Induction for new staff was comprehensive, all mandatory training was up to date and service specific training was delivered as required.
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.
Staff interactions throughout the day were respectful and friendly. People’s privacy and dignity was respected, and service had a policy and training in place regarding equality and diversity.
Care plans demonstrated that people who used the service were fully involved with their care and support planning. People were encouraged to be independent and pursue their own interests and hobbies.
There were monthly residents’ meetings where people could put forward their views and suggestions for the service. Policies were in place with regard to confidentiality and data protection.
Care files were person-centred and included information about what was important to the individual, their daily routines, strengths and gifts. People were supported to access activities, work and interests and to maintain relationships with family and friends.
People who used the service were aware of how to make a complaint and there were regular house meetings as well as annual surveys, providing opportunities for people to voice their opinions and raise concerns.
The registered manager was supported by a service manager and was accountable to a management committee. The service had good links with the community and we saw evidence of good partnership working with other agencies.
Further information is in the detailed findings below.