Background to this inspection
Updated
30 January 2018
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 was a comprehensive inspection and took place on 03 January 2018 and was announced. We informed the service of our inspection the day before. We did this because people who use the service are often out and we wanted to make sure the registered manager would be available to support our inspection, or someone who could act on their behalf. The inspection was carried out by one inspector.
Before we visited we looked at previous inspection reports and notifications we had received. Services tell us about important events relating to the care they provide using a notification. We reviewed the 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 used a number of different methods to help us understand the experiences of people who use the service. We spoke with both people using the service to seek their views about the care and support they received. We contacted one relative to gain their views on the quality of the care and support being provided to their family member. During our inspection we looked around the premises and observed the interactions between people using the service and staff.
We looked at documents that related to people’s care and support and the management of the service. We reviewed a range of records which included two care and support plans and daily records, staff training records, staff duty rosters, staff personnel files, policies and procedures and quality monitoring documents.
During the visit we spoke with the registered manager, deputy manager, area care manager and one member of staff.
Updated
30 January 2018
89 Pavenhill is registered to provide accommodation and personal care for up to three adults with learning disabilities. At the time of our inspection there were two people living in the home. The home is a bungalow with a communal lounge and dining room, with an accessible kitchen. The bedrooms are spacious with shared bathrooms. The service is one of many, run by the White Horse Care Trust, within Wiltshire and Swindon.
At the last inspection in January 2016, the service was rated as ‘Good’. 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.
People received a person centred service which met their needs. They were supported to make choices about their daily living. People continued to have access to a variety of social activities both within the home and the local community.
The provider acted within the principles of the Mental Capacity Act 2005 to ensure people were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.
People continued to be cared for safely. The staff had assessed risks to people’s wellbeing and taken action to minimise these risks whilst still promoting people’s independence. There were procedures in place to protect people from the risk of abuse. Staff were aware of their responsibilities to report any concerns should they suspect abuse had taken place or the person was at risk of harm.
People enjoyed the food at the home and were able to make choices about what they are and drank. Staff worked alongside other health and social care professionals to ensure people’s healthcare needs were met. People’s medicines were managed and administered safely.
People were cared for by staff that were well trained, and supported to ensure they had the correct knowledge and skills to meet people’s needs. Safe recruitment practices were undertaken to check staff suitability. There were enough staff to meet people’s needs and keep them safe.
The provider carried out regular checks and audits of the service to address any risks, identify areas for development and make improvements. The service had a clear process for the handling of complaints.