Background to this inspection
Updated
4 March 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 comprehensive inspection took place on 26 January 2018 and was unannounced. The inspection was carried out by one adult social care inspector.
Before the inspection, we looked at information we held about the provider and home. Due to technical problems, the provider was not able to complete a Provider Information Return. This is information we require providers to send 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 took this into account when we inspected the service and made the judgements in this report.
We were unable to speak with some people using the service due to their highly complex needs. We therefore spoke with one person, staff and healthcare professionals to help form our judgements. We made phone calls to four relatives after the inspection, but no-one was available to speak with us. We observed the care and support provided and the interaction between staff and people. We spoke with the manager and two staff members. We looked at three people’s care records and associated documents and observed interactions between staff and people in communal areas. We looked at two staff files, previous inspection reports, rotas, audits, staff training and supervision records, health and safety paperwork, accident and incident records, statement of purpose, complaints and compliments, minutes from staff meetings and a selection of the provider’s policies.
Updated
4 March 2018
Disabilities. There were three people living there at the time of our inspection. The home had two floors; each person had their own bedroom. On the ground floor there was a kitchen, dining room and lounge. All doors were wide enough to accommodate wheelchairs, and people had access to a rear garden.
At the last inspection, the service was rated Good. At this inspection we found the service remained Good.
Why the service is rated Good.
The home continued to ensure people were safe. There were enough suitable staff to meet people’s needs. Risk assessments were carried out to enable people to retain their independence and receive care with minimum risk to themselves or others. People received their medicines safely. People were protected from abuse because staff understood how to keep them safe, including more senior staff understanding the processes they should follow if an allegation of abuse was made. All staff informed us concerns would be followed up if they were raised.
People continued to receive effective care. People who lacked capacity had decisions made in line with current legislation. Staff received training to ensure they had the skills and knowledge required to effectively support people. People’s healthcare needs were met. People were supported to eat and drink in line with their nutrition assessments. People were supported to have maximum choice and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
The home continued to provide a caring service to people. We observed that staff were kind and patient. People’s privacy and dignity was respected by staff and their cultural or religious needs were valued. People were involved in decisions about the care and support they received. People’s choices were always respected and staff encouraged choice for those who struggled to communicate with them.
The home remained responsive to people’s individual needs. Care and support was personalised to each person which ensured they were able to make choices about their day to day lives. People were supported to follow their own activity programmes. These considered people’s interests and reflected people’s preferences. One person told us they knew how to complain and there were a range of opportunities for them to raise concerns with the manager and designated staff.
The home continued to be well led. Staff spoke highly about the management. The manager continually monitored the quality of the service and made improvements in accordance with people’s changing needs.