13a Repton Drive

Updated 25 October 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 comprehensive inspection took place on 12 September 2017 and was unannounced. It was carried out by one inspector.

Before the inspection, we reviewed the information we held about the service. The provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also looked at other information we held about the service, including previous reports, complaints and notifications. A notification is information about important events which the provider is required to tell us about by law. We used all this information to decide which areas to focus on during our inspection.

We met six people who lived at the service during the inspection. However, most people were unable to speak with us directly about their views of the service because of their disabilities. We therefore observed the care and support provided to them by the staff and briefly spoke with three people and three relatives. We also spoke with three members of staff, the registered manager of the service and professionals who visited the home.

We looked at three people’s care records and a range of records relating to how the service was managed. These included training records, staff rotas, documents relating to the provision of the service, medicine records, quality monitoring records as well as policies and procedures.

Updated 25 October 2017

This comprehensive inspection took place on 12 September 2017. At our previous inspection on September 2016, we identified three breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and the service was rated Requires Improvement. The breaches related to an absence of sufficient systems in place to support people who lacked capacity to make their own decisions. People did not have personalised care plans which identified their specific care needs and how these should be met by staff. Sufficient systems were not in place to effectively assess and improve the quality and safety of the service provided.

After our last inspection, the provider sent us an action plan to say what they would do to meet the legal requirement. This , had been signed by the registered manager as completed in November 2016.

At this inspection, we found the provider had made the required improvements as outlined in their action plan. The service was now compliant with the requirements of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

13a Repton Drive is registered to accommodate six people with profound and multiple learning and physical disabilities. People are accommodated in a purpose built bungalow. At the time of our inspection, the service was providing care and support to six people.

There was 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 and associated Regulations about how the service is run.

During this inspection, we found that medicines were managed safely by trained staff. Staff received regular competency checks to ensure they had the correct skills for administering medicines.

Risks to the health and safety of people using the service were assessed and reviewed in line with the provider's policy. Systems were in place to minimise risk, to ensure that staff supported people as safely as possible.

The provider had systems in place to deal with foreseeable emergencies and there were safeguarding adult's policies and procedures in place. Accidents and incidents were recorded and acted on appropriately. Pre-employment checks had been carried out to ensure staff were suitable to work with people safely. There were appropriate numbers of staff to meet people's needs.

Staff were knowledgeable about people's individual needs and how to best meet these needs. Staff had access to support, supervision, training and on-going professional development that they required to work effectively in their roles. The training and support they received helped them to provide an effective and responsive service.

Staff had received Mental Capacity Act 2005 (MCA) training and understood the systems in place to protect people who could not make independent decisions. The service followed the legal requirements outlined in the MCA and the Deprivation of Liberty Safeguards (DoLS).

People received a person centred service and had detailed personalised plans of care in place. They were supported by kind, caring staff who treated them with respect. Their cultural and religious needs were respected and celebrated.

People were supported to maintain good health and nutrition.

People and their representatives knew how to raise a concern or make a complaint. Effective systems were in place to manage complaints.

People lived in an environment that was suitable for their needs. Specialised equipment was available and used for those who needed this.

The quality of the service was monitored by the service's operations manager and the registered manager. The service had a positive ethos and an open culture.