Anderida

Updated 4 April 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 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 February 2018 and was unannounced. The inspection was undertaken by two inspectors.

Before the inspection we reviewed previous inspection reports, notifications and any other relevant information we had received. A notification is information about important events which the service is required to send us by law. The provider completed a Provider Information Return (PIR). A PIR is information we require providers to send to us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

We met two people, spoke with two members of staff, and the registered manager. We sampled records such as two care plans, medicine records, audits and daily notes. Following the inspection, we spoke with two health care professionals and two commissioners.

Updated 4 April 2018

Care service description

Anderida is a residential care home for up to three people with learning difficulties. The service is a detached bungalow in a small village with local amenities. There were two people living at the service when we inspected.

Anderida is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Anderida accommodates two people in one adapted building.

The service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities using the service can live as ordinary a life as any citizen.

At the last inspection, the service was rated ‘Good.’

Rating at this inspection

At this inspection we found the service remained ‘Good’

Why the service is rated Good

The service had robust systems in place to keep people safe. The registered manager assessed and mitigated risks, and ensured care plans were up to date to reflect people’s needs. People received the medicines they needed in a timely manner, and their medicines were managed safely. There were enough staff to meet people’s needs, and the necessary pre-employment checks completed to ensure people had the suitable skills to work in a care setting. People were supported by an experienced staffing team who knew them well, and understood how to safeguard them from any potential abuse. The service was clean and well maintained. Staff had received training in infection control and used personal protective clothing where required. Incidents had been reviewed and improvements made to improve the safety of the service.

People’s needs had been assessed and treatment delivered in line with current legislation. Staff worked with external organisations to share best practice. Staff received effective training, and regular supervision and observations from the registered manager. The environment had been adapted to meet people’s individual needs. People were supported to maintain a balanced diet and were referred to health care professionals when required. Staff had good understanding of the Mental Capacity Act and people made their own decisions.

People were treated with kindness and respect. Staff took the time to have meaningful interactions with people. Staff supported people to be as independent as possible, and encouraged them to make choices. Staff respected people’s privacy and dignity, and supported people to maintain relationships with those who were important to them.

People received personalised care in line with their needs. Activities were planned around people’s known likes and dislikes. The provider had systems in place to seek feedback from key stakeholders in order to improve the service. At the time of inspection the service was no supporting anyone at the end of their life.

Staff and healthcare professionals told us the service was well-led. Staff told us they were supported by the registered manager. There was a positive culture between staff. The registered manager understood and was meeting their regulatory responsibilities. There were robust processes in place to learn from accidents and incidents. The provider and registered manager regularly audited the service to strive for improvements. The registered manager attended a number of internal and external forums to learn and share best practice.

Further information is in the detailed findings below