Insight Teynham

Updated 19 December 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.’

This inspection took place on 17 October 2017 and was unannounced. At our previous inspection on 16 October 2015, the service was rated as good in all domains.

The inspection team consisted of one inspector. Before the inspection, we reviewed previous inspection reports and notifications. A notification is information about important events which the home is required to send us by law. We looked at safeguarding and whistleblowing information we had received.

We spoke to three members of staff including the registered manager, positive behaviour specialist assistant manager and care staff. We spoke to three people that lived in the service and two people’s relatives. We contacted health and social care professionals to obtain feedback about their experience of the service.

We observed care and support being provided. We looked at records held by the provider and care records held in the service. These included three people’s care records, risk assessments, staff rotas, four staff recruitment records, meeting minutes, policies and procedures, satisfaction surveys and other management records.

Updated 19 December 2017

We inspected Insight Teynham on 17 October 2017. Insight Teynham provides care and support for up to 13 people with learning disabilities and additional challenging behaviours. Insight Teynham is split into three separate units on one site. At the time of our inspection, 12 people were living at the service.

The service had a registered manager in post. 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, the service was rated Good. At this inspection we found the service remained Good and met all relevant fundamental standards.

Why the service is rated Good.

Staff had good knowledge of how to safeguard adults from abuse and knew what actions to take if they suspected abuse was taking place. The provider had carried out appropriate employment checks to ensure that staff were safe to work with people at the home. There were sufficient numbers of staff deployed to keep people safe. The provider gave staff appropriate training to meet the needs of people. Staff received one to one supervision and appraisals from the registered manager to support them in their roles.

People's needs had been assessed and detailed care plans developed. Care plans contained risk assessments for daily support needs that were personalised for individuals. People’s food preferences were taken into account when designing menus.

Medicines were stored securely and safely administered by staff who had received appropriate training to do so. People were being referred to health professionals when needed. People’s records showed that appropriate referrals were being made to GP’s, speech and language therapists, dentists and chiropodists.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff and the registered manager demonstrated a good knowledge of the Mental Capacity Act 2005 and had followed the principles of the Act.

Relatives spoke positively about staff. Staff communicated with people in ways that were appropriate to their needs. People’s private information was stored securely and discussions about people’s personal needs took place in a private area where it could not be overheard. People were free to choose how they lived their lives. People could choose what activities they took part in and these reflected their personal interests.

The provider had ensured that there were effective processes in place to fully investigate any complaints. Records showed that outcomes of investigations were communicated to relevant people. People were empowered to manage any personal disputes they had. People and their relatives were encouraged to give feedback through resident meetings and yearly surveys. The provider had ensured that there were quality monitoring systems in place to identify any shortfalls and the registered manager acted on these appropriately.

Relatives and staff spoke positively about the registered manager. The registered manager was approachable and supportive and took an active role in the day-to-day running of the service. Staff were able to discuss concerns with the registered manager at any time and had confidence appropriate action would be taken. The registered manager was open, transparent and responded positively to any concerns or suggestions made about the service. The registered manager was informing the CQC of all notifiable events detailed in the regulations.