We inspected this service on 22 August 2018. The inspection was announced.1 Foxlydiate Mews offers respite accommodation for up to five people with learning disabilities and sensory impairments. The service offers short term accommodation to people with complex health needs, so relatives and carers are supported in their caring roles. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Forty two people used the respite service at the time of our inspection visit.
There was a registered manager in post 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.
At the last inspection in August 2015 the service was rated as Good. At this inspection we found the quality of care had been maintained and people continued to receive a service that was well led, providing safe, caring, effective and responsive care and support that met their needs. The rating remains 'Good'.
Staff had the skills and knowledge to meet people’s needs and provide effective care. Staff felt they had good training. Staff were supervised and supported in their roles. People were supported to access health services when needed and staff regularly worked in conjunction with other health and social care professionals.
People had a comprehensive assessment of their health and social care needs before they used the service. Care plans contained detailed information to enable people to receive appropriate care and support that was responsive to their complex needs. People’s care needs were regularly reviewed. The registered manager and the provider were in regular contact with people, or their relatives, to check the care provided was what people needed and expected.
People and relatives were very satisfied and very complimentary with the quality of care provided.
People felt safe and were supported by a consistent, kind and caring staff team. Staff were caring and people were treated with dignity and respect.
Staff understood how to protect people from abuse and harm. There were procedures to keep people safe and manage identified risks to people’s care.
Medicines were administered by staff who were trained and assessed as competent to do so safely. The provider had a recruitment process that had suitable checks in place to ensure staff were suitable to support people who used the service.
The principles of the Mental Capacity Act (MCA) were followed by the registered manager and staff. People’s decisions and choices were respected and people felt involved in their care. People were supported to have choice and control of their lives and staff sought permission before assisting them.
There were governance systems in place that provided the registered manager with an overview of areas such as care and medicine records.