There were three people living at the home at the time of our first inspection on 7 and 8 May 2013. During this time, we found that the provider was non- compliant against the regulations in all six of the outcome areas that we checked. These included care planning and care delivery, staff availability, safeguarding people who lived at the home, quality monitoring and record keeping. We shared our concerns with local authority staff involved in the care of the people who lived at the home. Arrangements were put into place so that there would be no further admissions to the home until improvements had been made. The provider wrote to us in a timely manner and told us how these improvements would be achieved.
We returned to the home on 11 July 2013 to check on the progress the provider had made against the information they had sent to us. The findings of our inspection identified that compliance with regulations had been achieved. This also reflected the findings of local authority staff involved in monitoring the quality of the service provided at the home.
We served warning notices to confirm that whilst the provider had been in breach of regulations, this was no longer the case. The warning notices have reminded the provider of the importance of maintaining compliance with regulations.
There were three people living at the home at the time of our follow up inspection. We spoke with all of these people, the staff that were supporting them and a volunteer who was visiting the home.
People told us that they were happy living at the home and that they were involved in the on-going review of their care and support needs. This ensured that they received care and support in the way they preferred. People told us that they enjoyed the freedom that they were given to make their own decisions and were able to lead lifestyles of their choosing. Staff spoken with had a good understanding of any individual preferences that people had.
This was confirmed by people living at the home who told us that staff had a good understanding of their care and support needs and that they supported them in a respectful manner. Staffing levels had increased during day time hours and new staff had received relevant training to support people in a safe manner. We saw that care staff were available to support people to undertake activities outside of the home.
Effective systems were in place to identify and monitor the quality of the service provided at the home and to manage risks to people's safety, health and welfare. People living at the home were involved in this process, so that they had opportunities to discuss the quality of service they received.