Archived: Pentire

Updated 18 November 2016

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.

We carried out an unannounced focused inspection of Pentire on 8 November 2016. This inspection was done to check that improvements to meet legal requirements planned by the provider after our 18 May 2016 inspection had been made. The service was inspected against three of the five questions we ask about services: is the service safe, responsive, and well-led?

The inspection was carried out by one inspector. During our inspection we spoke with two members of staff and the three people who lived at Pentire. Following the inspection we spoke with the manager, another member of staff and a relative.

Before the inspection we reviewed previous inspection reports and other information we held about the service including any notifications. A notification is information about important events which the service is required to send us by law.

We looked at detailed care records for two individuals, medicines records for one person and other records relating to the running of the service including staff rotas and daily logs.

Updated 18 November 2016

We carried out an announced comprehensive inspection of this service on 18 May 2016. At that time we found breaches of the regulations in relation to safeguarding and risk management. The provider subsequently sent us an action plan setting out what they intended to do to ensure they complied with the regulations.

We undertook this focused inspection to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for (location's name) on our website at www.cqc.org.uk.

Pentire provides care and accommodation for up to three people who have autistic spectrum disorders. At the time of the inspection three people were living at the service.

The service is required to have a registered manager and at the time of the inspection there was no 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. The manager told us they were in the process of applying to CQC to become the registered manager.

People were protected from the risk of abuse because staff had received training in this area and were knowledgeable about the potential signs of abuse. Staff and people told us they would not hesitate to report any concerns and were confident these would be acted on by senior management. Staff knew where to report concerns outside of the organisation. People told us they trusted staff and felt safe at Pentire.

Incidents were recorded in a timely manner and there were systems in place to help ensure they were seen by members of Spectrum’s behavioural team. This meant any trends or patterns could be identified and action taken quickly to address any issues.

There were a range of risk assessments in place to protect people from identified risk. Guidance for staff was clear and detailed. Staff demonstrated an understanding of how to support people in order to help them avoid becoming anxious or distressed. There were enough staff available to meet people’s individual needs.

Care plans were up to date and were regularly reviewed. Key workers had responsibility for overseeing individuals care plans. People took part in meaningful activities which met their individual needs and preferences.

Staff described the service as “happy” and people told us they were well supported. Staff morale was positive and there was a shared approach to care and support which focused on people’s individual needs. There were systems in place to ensure staff communicated together to share relevant information about people’s changing needs. Staff, people and a relative told us they considered the service to be well organised.

At this focused inspection we found the registered provider was now meeting the requirements of the regulations.