This announced inspection took place on 6 November 2017. 15 School St provides care and support for two people living in a ‘supported living’ setting, so that they can live in their own home as independently as possible. There were two people living there at the time of the inspection. When we completed our previous inspection on 3 August 2016 the service was rated as Requires Improvement. At this inspection the service has been rated as Good.There was a registered manager in place. 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.’
At the last inspection on 3 August 2016 we asked the provider to take action to make improvements to capacity assessments and quality improvement systems. This action has been completed. People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service supported this practice. When decisions were made because people did not have capacity to do so they were made in their best interest.
Quality monitoring systems were effective in highlighting errors and implementing actions to ensure that they were addressed.
Staff received training and support to enable them to fulfil their role effectively and were encouraged to develop their skills. They understood their responsibilities to identify and report abuse. There were enough staff to meet their needs and to ensure that they could go out to their organised activities and socially.
People were supported to maintain good health and had regular access to healthcare professionals. Their care plans were regularly reviewed to correspond with changing support needs and they were personalised and accessible. Risk was assessed, actions were put in place to reduce it and their effectiveness was reviewed. Medicines were administered as prescribed and they were stored safely.
Staff had caring relationships with the people they supported which were respectful. They understood how people communicated and supported them to make choices about their care. They knew people well and provided care that met their preferences. People’s privacy and dignity were maintained at all times. They were supported to maintain and develop important family relationships.
There was a procedure in place for people to complain, although no complaints had been received. People had up to date care plans which were regularly reviewed.
Staff felt supported by the registered manager and they understood the responsibilities of their registration.