18 February 2019
During a routine inspection
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.
People’s experience of using this service:
People received person-centred care which met all of their assessed needs. People had detailed and individual care plans which were regularly reviewed and updated as people’s needs changed. Risk assessments were in place to help keep people safe by mitigating identified risks people faced.
There was a governance framework in place to assess the quality and safety of care provided to people. We found this framework was not always effective as the registered manager had not notified the Commission of two incidents. The service was operating a supported living model of care and not a domiciliary service to people. We are dealing with this outside of the inspection process.
Staff were kind and caring with people and respected their privacy and dignity. People received safe care from a well established staff team who had received all mandatory training and on-going support.
Medicines were safely managed. Staff supported people with their medication appropriately and worked in partnership with GPs and other health care professionals to regularly review people’s medication and assess their needs.
Staff demonstrated a good knowledge of people and their relatives. People were supported to have maximum choice and control of their lives and were supported in the least restrictive way possible.
People were supported to be independent, maintain social relationships and supported to attend activities that they had chosen in the community.
Staff worked in partnership with other health care professionals and used best practice guidance.
More information is in the detailed findings below.
We identified two breaches of the Health and Social Care Act (Regulated Activities) Regulations 2014 around the governance of the service and not displaying previous ratings of the provider’s services on their website and the registration of the service. We also found a breach of Regulation 18 of the Care Quality Commission (Registration) Regulations 2009 due to the registered manager not notifying the Commission of a serious injury and a safeguarding incident. Details of action we have asked the provider to take can be found at the end of this report.
Rating at last inspection: At our last inspection the service was rated good. Our last inspection report was published on 8 September 2016.
Why we inspected: This was a planned inspection based on the rating at the last inspection. At this inspection we found the service continued to be good in most areas. However, we also identified some areas which required improvement.
Follow up: We will continue to monitor the service through information we receive from the service, provider, the public and partnership agencies. We will re-visit the service in-line with our inspection programme. If we receive any concerning information we may inspect sooner.