26 January 2015
During an inspection looking at part of the service
Our inspection team was made up of one inspector. We answered our questions; Is the service effective? Is the service responsive? Before the inspection, we reviewed information we held about the service. This included previous inspection reports, and any notifications, (A notification is information about important events which the service is required to send us by law) and complaints we had received.
Below is a summary of what we have found. The summary is based on our observations during the inspection. On the day of the inspection 20 people were living at the service. We observed the care provided, looked at supporting care documentation, staff records and records relating to the management of the service. We spoke individually with the registered manager (who is referred to as manager in the report), two registered nurses, the chef and three physiotherapists. We spoke with six people who used the service and three relatives/friends. We also spoke with the local authority commissioning team, and the clinical commissioning group (CCG) to ask them about their experiences of the service provided.
Is the service effective?
People were treated with respect and dignity by the care workers. People told us they were safe in the service.
Staff had received training and had an understanding of their responsibilities under the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). They knew who to contact should further guidance and support be required.
Staff training was available to support staff to undertake their roles in the service. This helped to ensure people were not put at any unnecessary risk.
People's health and care needs had been reviewed and where possible people and their representatives had been involved in the writing and review of the care documentation. Their specialist care needs such as dietary requirements and support needs had been identified. People were able to move around the service freely and safely.
Is the service responsive?
People had been supported as part of their rehabilitation to meet their agreed goals. People told us they had guidance and regular support from the physiotherapists, and occupational therapists. These specialists had worked with them to improve their mobility before returning home. They told us of the exercises they were being supported to undertake.
There was a system in place to make sure that the provider, management and care staff learnt from events such as incidents and accidents, complaints, and concerns.