Background to this inspection
Updated
31 January 2017
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 was unannounced, undertaken by one inspector and took place on 16 November 2016.
Prior to the inspection the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We looked at information we held about the service including previous inspection reports. We reviewed information sent to us from other stakeholders for example the local authority and members of the public. We received feedback from one professional.
We spoke with three people who used the service and one relative. We observed the care and support provided to people and the interaction between staff and people throughout our inspection.
We looked at records in relation to four people’s care. We spoke with the registered manager, the behaviour practitioner, the independent living co-ordinator and four care staff. We looked at records relating to the management of the service and systems for monitoring the quality of the service. We looked at three staff files which included recruitment processes, supervision and training records.
Updated
31 January 2017
Progressive Mews provide accommodation for persons who require personal care without nursing for up to 12 people. It is a service for people who have a learning disability and/or autistic spectrum disorder, physical disabilities and sensory disabilities. Some people have complex needs. The service is split into Acorn House, Blossom House and The Maples. Acorn House is a residential home for up to five people. Blossom House is a progression service towards more independent living for five people which is split into individual flats. The Maples consists of two individual, self contained supported living flats which are currently vacant.
There were three people living in Acorn House and four people living in Blossom House when we inspected on 16 November 2016. This was an unannounced inspection.
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There was a 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.
There were appropriate arrangements in place to ensure people’s medicines were administered, obtained and stored safely.
People received support that was personalised to them and met their individual needs and wishes. People were encouraged to be as independent as possible but where additional support was needed this was provided respectfully. Staff respected people’s privacy and dignity and interacted with people in a caring, compassionate and professional manner.
There were sufficient numbers of staff who had been recruited safely and who had the skills and knowledge to support people in the way they preferred. Staff had developed good relationships with people who used the service and understood the need to obtain consent when providing support.
Systems were in place which safeguarded the people who used the service from the potential risk of abuse and staff understood the various types of abuse and knew who to report any concerns to.
Staff knew how to minimise risks and provide people with safe care and there were procedures and processes which guided staff on how to ensure the safety of the people who used the service. These included checks on the environment and risk assessments which identified how risks to people were minimised.
People were encouraged to attend appointments with other health care professionals to maintain their health and well-being and the service worked closely with other agencies to meet people’s needs.
There was an open and transparent culture in the service and staff were very motivated. Staff understood their roles and responsibilities in providing safe, good quality care to the people who used the service. Processes were in place that encouraged feedback from people who used the service, relatives, and visiting professionals. An effective quality assurance system was in place and as a result the service continued to develop and improve.