7 November 2018
During a routine inspection
At our last inspection of this service on 16 June 2016 the service was rated Good. At this inspection we found two breaches of the fundamental standards and regulations. The provider had not ensured there were risk assessment and management plans for people identified with a health condition and behaviour that challenged. The provider’s quality assurance systems were not effective.
You can see what action we told the provider to take at the back of the full version of the report.
There was a system in place to manage accidents and incidents to reduce the possibility of reoccurrence. There were systems and processes in place to protect people from the risk of abuse.
The service had enough staff to support people. The service carried out satisfactory background checks of staff before they started working. Staff supported people so they took their medicine safely, however one member of staff’s competency to administer medicines had not been assessed. The service had arrangements in place to deal with emergencies and staff were aware of the provider’s infection control procedures.
Staff carried out an initial assessment of the needs of each person to ensure they could be met before they started to use the service. The service provided induction and training to staff to help them undertake their role. The service supported staff through supervision and annual appraisals.
People’s consent was sought before care was provided. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and the policies and systems in the service support this practice.
Staff supported people to eat and drink sufficient amounts to meet their needs. Staff supported people to access healthcare services they required.
Staff considered people’s personal choices, general wellbeing and activities. Staff supported people to make day to day life choices and maintain relationships with their family. Staff supported people in a way which was kind, caring and respectful. Staff protected people’s privacy and dignity.
The service had a clear policy and procedure about managing complaints. People knew how to complain. The provider had systems and processes in place to support people with end of life care in line with their wishes. However, at the time of the inspection no one required end of life care support from the provider.
The provider had notified us of notifiable events. The service sought the views of people using the service. Staff felt supported by the manager. The service worked effectively in partnership with health and social care professionals and commissioners.
The last inspection rating of the service was displayed correctly on their website.