30 August 2016
During a routine inspection
People who used the service were adults aged 18 and over with a learning disability. People had different communication needs. People used verbal and non-verbal communication.
The service had a registered manager. 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.
Staff were trained in how to protect people from abuse and harm. They knew how to recognise signs of abuse and how to raise an alert if they had any concerns. Risk assessments were effective and promoted positive risk taking. Risk assessments took account of people’s right to make their own decisions.
There were sufficient staff on duty to meet people’s needs. Staffing levels were adjusted according to people’s changing needs. There were safe recruitment procedures in place which included obtaining references and photographic ID. Staff were trained in the safe administration of medicines and supported people with their medicines safely.
Staff knew each person well and understood how to meet their needs. Each person’s needs and personal preferences had been assessed and people had been involved in their own reviews. Staff received effective training and supervision to monitor their performance and professional development. Staff understood the principles of the Mental Capacity Act 2005 (MCA).
People had enough to eat and drink, and received support from staff where a need had been identified. People’s special dietary needs were clearly documented and staff ensured these needs were met.
Staff communicated effectively with people, responded swiftly to their needs and treated them with kindness and respect. People’s privacy was respected and people were assisted in a way that respected their dignity. People were involved in their day to day care and support.
People were promptly referred to health care professionals when needed and were supported to access specialist medical assistance when they needed it. The staff promoted people’s independence and encouraged people to do as much as possible for themselves. People were involved in planning activities of their choice.
People received care that was based on their needs and preferences. They were involved in all aspects of their care and were supported to lead their lives in the way they wanted. People’s views and opinions were sought and listened to. Feedback from people receiving support was used to drive improvements.
The culture of the service was open and person focused. The registered manager provided clear leadership to the staff team and was an active presence in the service. There was strong emphasis on continual improvement and best practice which benefited people and staff. There were robust systems to ensure quality and identify any potential improvements to the service.