Archived: EnhanceAble Space

Updated 30 March 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 checked 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 was a comprehensive inspection. The inspection took place on 22 February 2017 and was announced. The provider was given 24 hours’ notice because the location was a small respite home for younger adults who are often out during the day; we needed to be sure that someone would be in. The inspection was carried out by a single inspector.

Before our inspection we reviewed information we held about the service. This included statutory notifications received from the provider since the last inspection and the Provider Information Return (PIR). The PIR is a form we asked the provider to complete prior to our visit which gives us some key information about the service, including what the service does well, what the service could do better and improvements they plan to make.

Before the inspection we emailed a questionnaire to the local authority who commission places at the home. We asked them for their opinion of their clients care and they replied to us.

During the inspection we spoke with three people who used the service. Not everyone was able to verbally answer our questions, but with the help of staff, sign language and a person’s reaction to our questions we were able to understand their answers. We also spoke with the manager and three care staff. We looked at a range of records including four staff files, three people’s care plans and other records relating to the management of the home.

After the inspection we contacted and received feedback from seven relatives.

Updated 30 March 2017

EnhanceAble Space is a respite care service that offers support and activities during the day and accommodation overnight. It provides accommodation, personal care and support services for up to five people a day with learning and physical disabilities. There were five people receiving day-care services and of those people, two were receiving overnight accommodation at the home on the day we visited.

At the last Care Quality Commission (CQC) inspection in July 2015, the overall rating for this service was Good. At this inspection we found the service remained Good. The service demonstrated they continued to meet the regulations and fundamental standards.’

People remained safe at the home. Staff could explain to us how to keep people safe from abuse and neglect. People had suitable risk assessments in place. The provider managed risks associated with the premises and equipment well. There were enough staff at the home to meet people’s needs. Recruitment practices remained safe. Medicines continued to be administered safely. The checks we made confirmed that people were receiving their medicines as prescribed by staff qualified to administer medicines.

People continued to be supported by staff who received appropriate training and support. Staff had the skills, experience and a good understanding of how to meet people’s needs. We saw that staff encouraged people to make their own decisions and gave them the encouragement, time and support to do so. Staff were providing support in line with the Mental Capacity Act 2005. People were supported to eat and drink sufficient amounts to meet their needs. People had access to a range of healthcare professionals.

The staff were caring. The atmosphere in the home was calm and friendly. Staff took their time and gave people encouragement whilst supporting them. Throughout the inspection we saw that people had the privacy they needed and were treated with dignity and respect by staff.

People’s needs were assessed before they stayed at the respite home and support was planned and delivered in response to their needs. People could choose the activities they liked to do. The provider had arrangements in place to respond appropriately to people’s concerns and complaints.

Relatives we spoke with described the management as very positive. We observed during our visit that management were approachable and responsive to staff needs. Systems were in place to monitor and improve the quality of the service. Audits of the premises helped ensure the premises and people were kept safe.