About the service: Malvern View is a residential home that provides personal care for up to ten people, who may have a learning disability and or mental health difficulties. At the time of our inspection nine people were living at the home.People’s experience of using this service:
• People at the home were not always protected and supported to be safe, as the registered manager and the provider did not have full oversight of the service. There was a lack of systems and processes in place to effectively monitor and improve the quality and safety of support provided.
• Staff did not have guidance to follow in how to best support people whose behaviour may challenge.
• Although people said they received their medicines as prescribed. We found improvements were required in the recording of when people had received their medication.
• People’s right to confidentiality was not always respected. We found personal information on display in a communal area of the home.
• People’s care plans were currently being reviewed by the registered manager.
• People were supported to enjoy the best health outcomes possible, and staff were supported to do this by the systems the registered manager had put in place to promote good working with other health and social care professionals.
• People were supported in an individualised way that encouraged to remain as independent as possible.
• 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.
• People were given the opportunity to have interesting and fun activities to do.
• Systems were in place to take any learning from complaints and to reflect on people’s needs and to further improve people’s care.
• The registered manager and provider sought suggestions for improving people’s care further and suggestions were listened to and acted on.
• The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
Rating at last inspection: Requires Improvement. The last report for Malvern View was on 27 November 2018 and the report was published 16 February 2018.
Why we inspected: [where relevant: improvement plan at last inspection; incidents or third-party investigations we were aware of at inspection and risks]; scheduled/planned inspection based on previous rating; inspection brought forward due to information of risk or concern;]
Enforcement We found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we have taken at the back of the full version of the report.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received we may inspect sooner.