10 April 2018
During a routine inspection
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
At our last inspection in February 2016 we rated the service good. 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 on-going 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. At this inspection we found the service remained Good.
A registered manager was employed by the service and was present during our inspection. 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.
We observed staff interacting with people in a kind and caring manner, involving people in choices around their daily living. Staff sought permission before providing care and support and made sure people knew what was happening at all times.
People looked relaxed and comfortable in the company of staff and did not hesitate to seek support and assistance when required.
Staff continued to monitor people’s physical and emotional wellbeing and ensured support was in place to meet their changing needs. Each person had a health action plan which described their health care needs. Where necessary, staff contacted health and social care professionals for guidance and support. People’s medicines were managed and administered safely.
Staff received training in how to recognise and report abuse. All staff were clear about how to report any concerns they had. Staff we spoke with were confident that any concerns raised would be fully investigated to ensure people were protected from the risk of harm or abuse.
People had access to food and drink throughout the day and were supported to eat their preferred food choices. Where people chose not to eat the menu options available alternatives were offered.
Staff told us they felt supported in their roles. Staff said they received appropriate training to have the correct knowledge and skills to meet people’s needs.
There were enough staff deployed to fully meet people’s health and social care needs. The registered manager and provider had systems in place to ensure safe recruitment practices were followed.
The registered manager had systems in place to monitor the quality of the service provided. The service worked in conjunction with other health professionals to support people to access additional support and services where needed.
Further information is in the detailed findings below.