About the service Astbury View had a registration to provide personal care and accommodation to a maximum of nine people. People who lived there may have a learning disability and/or autism. At the time of the inspection eight people lived at the home.The service applied the principles and values that underpin Registering the Right Support and other best practice guidance. This ensured that people who used the service can live as full a life as possible and achieve the best possible outcomes that include control, choice, and independence. People using the service received individualised care and support to meet their needs.
People’s experience of using this service and what we found
The provider had quality assurance systems in place and action had been taken to continually drive improvements. However, a number of issues identified during the inspection had not been picked up by managerial observations or by in-house audits.
People felt safe and were supported by staff who had received training in how to recognise, report and act on any signs of abuse. People told us they were supported by staff who kept them safe and protected them from harm. Staff had reported any concerns regarding abuse to the registered manager. The registered manager had notified us and the local authority of incidents and concerns as is required by law. Staff were aware of people’s individual risks and systems had been applied to minimise those risks Recruitment processes ensured staff were safe to work with people. The registered manager had an on-going recruitment drive to ensure staffing levels would be consistently maintained. In general medicines were managed safely and were administered as they had been prescribed. Accidents and incidents had been analysed and where required changes had been made to practice preventing future occurrences. The premises were visibly clean.
People’s needs were assessed regularly or when a change in their condition and/or circumstances required re-assessment. Staff had received a range of training to enable them to support people adequately. To promote people’s health and well-being, people had access to a range of healthcare services on an as needed or regular basis. Staff supported people in the least restrictive way possible and in their best interests. The principles of the Mental Capacity Act (2005) were followed. People were offered a varied and healthy diet that met their likes and any special requirements. People’s preferred colours and accessories had been considered with the current re-decorating and refurbishment plan.
People and their relatives told us the staff were polite, kind and promoted people’s dignity, privacy and independence. The atmosphere of the home was friendly. People had been supported to make decisions about their daily routines and how they wished to live their lives. Visiting times were open and flexible.
People were involved in the development of their care plans. Relatives were involved in reviews of their family member’s care and support. People had no complaints and were confident that if they raised concerns they would be dealt with appropriately.
Relatives and people had been asked to give feedback on the service provided. People and their relatives were complimentary of the registered manager and the service provided.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 10 July 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.