Archived: Cavendish

Updated 6 December 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 9 November 2016 and was announced. We gave the provider 24 hours’ notice because the needs of people at the service meant that arriving unannounced may have caused them distress and anxiety. The inspection team consisted of one inspector.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. Before our inspection, we reviewed the PIR and other information we held about the service, which included notifications they had sent us. A notification is information about important events which the provider is required to send us by law.

We also contacted the commissioners of the service, health and social care professionals, and Healthwatch to obtain their views about the service provided.

Due to people’s communication needs we were unable to ask them about their experience of the service they received. To help us understand people’s experience we used observation to support our understanding.

On the day of the inspection we spoke with the registered manager and three care staff. We looked at all or parts of the care records of three people along with other records relevant to the running of the service. This included policies and procedures, records of staff training and records of associated quality assurance processes.

After the inspection we contacted three people’s relatives for their feedback about the service their family member received.

Updated 6 December 2016

We carried out an announced inspection of the service on 9 November 2016.

Cavendish provides accommodation and personal care for up to six people living with a learning disability and or autistic spectrum disorder. At the time of our inspection there were six people living at the service.

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.

People received a safe service. Staff were aware of the safeguarding adult procedures to protect people from abuse and avoidable harm and had received appropriate training. Risks were known by staff and managed appropriately. Accidents and incidents were recorded and appropriate action had been taken to reduce further risks. People received their medicines as prescribed and these were managed correctly. Some concerns were identified with regard to safety of the environment. The provider took immediate action to make the required improvements.

Staff received an induction, training and appropriate support. There were sufficient experienced, skilled and trained staff available to meet people’s needs. People’s dependency needs had been reviewed and were monitored for any changes. Staff were recruited through safe recruitment practices.

People were involved in the menu planning and their nutritional needs had been assessed and planned for. People’s healthcare needs had been assessed and were regularly monitored. People received appropriate support to maintain their health and access community health services including specialist healthcare support.

The registered manager applied the principles of the Mental Capacity Act 2005 (MCA) and Deprivations of Liberty Safeguards (DoLS), so that people’s rights were protected. People were asked for their consent before care and support was provided and this was respected.

Staff were kind, caring and respectful towards the people they supported. They had a clear understanding of people’s individual needs, preferences and routines. The registered manager was exploring ways of involving people more in how the service was provided and developed.

People were involved in their care and support as fully as possible. There was a complaint policy and procedure available and confidentiality was maintained. People did not have access to independent advocacy services, however the registered manger assured us this support would be provided if required.

People were supported to participate in activities, interests and hobbies of their choice and independence was promoted.

The provider had systems in place that monitored the quality and safety of the service. There was a registered manager in place and relatives and staff were positive about their leadership of the service.