First inspection of this newly registered supported living service supporting one person with a learning disability, rated Good overall and across all five key questions. Minor areas for improvement included more regular family updates, broader activities, and securing end-of-life training in advance of need.
Concerns (3)
minor
Communication with families
: “Relatives told us they were kept informed about any changes in their family member's health and or well-being. However, they also mentioned this could be further improved.”
minorPerson-centred care: “Relatives felt that the activities could be further improved and had discussed this with the registered manager.”
minorEnd-of-life care: “They were in the process of looking training for staff in this area should people develop end of life care needs.”
Strengths
· Safe recruitment procedures with references, DBS and identification checks
· Sufficient consistent staffing with no agency use, supporting continuity of care
· Detailed risk assessments and PEEPs in place, regularly reviewed
· Medicines administered as prescribed with MAR audits by registered manager
· Comprehensive pre-admission assessments involving people, relatives and local authority
Quality-Statement breakdown (24)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies; supporting people to access healthcare servicesGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and controlGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships and follow interestsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Promoting a positive, person-centred, open, inclusive and empowering cultureGood
well-led: Understanding and acting on the duty of candourGood
well-led: Managers and staff clear about their roles, quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people, public and staff; continuous learning and improving careGood