14 December 2018
During a routine inspection
At our last inspection 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 ongoing 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.
Children’s safety was paramount and staff were trained in ensuring this. They had systems in place to detect, monitor and report any safeguarding concerns. Staff were safely recruited and deployed and their practice around medication and infection control management was robust and safe. The premises were maintained in a safe condition.
Staff practice was effective. They were trained and qualified to carry out their roles, received supervision and appraisal and demonstrated understanding of children’s rights and anti-discriminatory practice. Children’s health care and nutrition was well supported according to their assessed needs and wishes. The premises were designed and adapted to the needs of children.
We found staff to be caring, compassionate and attentive in their support of children. Staff communicated well with children and respected their independence, choice, privacy and dignity.
Children’s support plans were detailed and instructive. They enabled staff to provide the right support to children. Interests and activities were extremely well coordinated with the schools that children attended, as staff also worked with children when in school. Staff understood the principles of good care practice. Complaints were appropriately addressed and satisfied. End of life support was compassionate and responsive to the needs of children and their families.
The service met its registration requirements. There was a registered manager, but the clinical manager had day-to-day charge of the service, with the registered manager being accountable for all management systems and practice. Staff understood their organisation’s visions and values and there was an organisational quality assurance system operated by dedicated officers. Parents of children told us they had been asked about their views of the service and felt included in the support of their children. The service continued to provide a good service to the children that spent respite time at City Health Care Partnership CIC – Sunshine House.
Further information is in the detailed findings below.