Background to this inspection
Updated
7 October 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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 unannounced comprehensive inspection took place on 24 August 2017
The inspection was carried out by 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. We checked the information we held about this service and the service provider. We also contacted the Local Authority. No concerns had been raised.
We spoke with one person who used the service. We also spoke with the registered manager, the clinical lead, the dietician, art therapist, the occupational therapist, a senior support worker and a support worker.
We reviewed two people’s care records, two medication records, five staff files and records relating to the management of the service, such as quality audits.
Updated
7 October 2017
This inspection took place on 24 August 2017. The inspection was unannounced.
The inspection was carried out by one inspector.
The service provides specialist support and treatment for up to four people living with eating disorders. Some of the people receive care and treatment within the frameworks of the Care Programme Approach (CPA) and Community Treatment Orders (CTO) of the Mental Health Act 2007. There were four people being supported by the service at the time of this inspection.
There was 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 felt safe. Staff had received training to enable them to recognise signs and symptoms of abuse and knew how to report them, protecting people from avoidable harm and abuse.
People had risk assessments in place to enable them to be as independent as they could be whilst being kept safe.
There were sufficient staff, with the correct skill mix, on duty to support people with their needs.
Effective recruitment processes were in place and followed by the service to ensure staff employed were suitable for the role.
Medicines were managed safely. The processes in place ensured that the administration and handling of medicines was suitable for the people who used the service. Most people administered their own medication.
Staff received a comprehensive induction process and on-going training. They were well supported by the registered manager and had regular one to one time for supervisions and annual appraisals.
Staff had attended a variety of training to ensure they were able to provide care based on current practice when supporting people.
Staff gained consent before supporting people and had signed consent within their care plans. People were supported to make decisions about all aspects of their life; this was underpinned by the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards.
People were able to make choices about the food and drink they had, and staff gave support when required.
People were supported to access a variety of additional health professionals when required. Staff provided care and support in a caring and meaningful way. They knew the people who used the service well. People and relatives were involved in the planning of their care and support. People’s privacy and dignity was maintained at all times.
A complaints procedure was in place and accessible to all. People knew how to complain. Effective quality monitoring systems were in place. A variety of audits were carried out and used to drive improvement.