25 May 2017
During a routine inspection
Cintre Severnoaks is registered to provide accommodation for up to seven people who have complex mental health needs. At the time of our inspection the service was providing support to five people.
A registered manager was in post at the time of 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.
At our previous inspection the provider was not fully adhering to the principles of the Mental Capacity Act (2005). Although some further work is required we found sufficient improvements had been made. We were advised that the kitchen and pool room were locked overnight. There was no evidence that people had consented to this restrictive practice. The registered manager agreed to review their protocol and ensure that the necessary consideration with people is taken forward as a matter of priority. Apart from this issue the service enabled people to make their own decisions and assisted them to understand the decision making process.
At our previous inspection the provider was not consistently managing medicines safely. We found sufficient improvements had been made.
Staffing numbers were sufficient to meet people’s needs and this ensured people were supported safely. Staff were supported to undertake training to enable them to fulfil the requirements of the role.
Risks to people were assessed and where required a risk management plan was in place to manage an identified risk and keep the person safe.
People were supported by a small experienced team. Enabling relationships had been established between staff and the people they supported. Support plans to enhance people’s independence were promoted by the service and staff members.
A care plan was written and agreed with individuals and other interested parties. At people’s requests some family members attend care plan meetings. Care plans were reviewed regularly and a formal review was held once a year and if people’s care needs changed.
People were supported to maintain good health and had access to external health care professionals when required.
Staff described the registered manager as supportive. Comments from people confirmed they were happy with the service and the support received.
There were systems in place to assess, monitor and improve the quality and safety of the service.
Further information is in the detailed findings below.