We inspected the service on 5 November 2018. The inspection was announced. Adrien O’ Brien is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service can accommodate up to two people who experience learning disabilities or autistic spectrum disorder.On the day of our inspection one person was living at the service.
The care service had 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. People were given choices and their independence and participation within the local community encouraged.
At our last inspection on 26 February 2016 we rated the service ‘good.’
At this inspection we found the evidence continued to support the rating of ‘good’ overall but there had been a deterioration in ‘Safe’ which is now rated as ‘requires improvement’. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
The registered manager and staff they employed ensured the person received care and support when they needed it and the registered manager knew how to safeguard the person from situations in which they might experience abuse. However, full background checks had not always been completed before new staff were employed.
Risks associated with the person's needs including the environment, had been assessed and planned for and these were monitored for any changes.
Medicines were managed safely and the person received their medicines as prescribed.
Staff received the training and support they required to meet the person's individual needs.
The person had access to a varied diet and was supported to maintain their nutritional needs.
The registered manager worked well with external health care professionals, the person was supported with all of their health needs and continued to be enabled to access community health services when required.
The principles of the Mental Capacity Act (MCA) were followed and the person was supported to have maximum choice and control of their lives and the registered manager supported them in the least restrictive way possible.
The person's needs were assessed and planned for with the full involvement of the person and their relatives. The person continued to receive care from staff who were kind, compassionate and who treated them with dignity and respected their privacy. The person's independence was fully promoted.
The person received opportunities to pursue their interests and hobbies and there was a process in place to enable the person and their relatives to raise any concerns or complaints they may have.
There continued to be an open and transparent and person-centred culture at the service. People were encouraged to give their views on how the service was run and there were systems in place to monitor and improve the quality of the service provided.