Background to this inspection
Updated
15 February 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 inspection took place on the 19 and 20 January 2016. The inspection was announced, which meant the provider knew we would be visiting. This was because we wanted to make sure the provider, or someone who could act on their behalf, would be available to support the inspection. The last full inspection took place in June 2015 and, at that time, one breach of the Health and Social Care (Regulated Activities) Regulations 2014 was found in relation to management of medicines.
This inspection was carried out by one inspector.
During the inspection we spoke with three members of staff, the chief executive and the registered manager. We visited two people who used the service at their home. One person came to speak to us at the provider’s office.
We looked at three people’s care and support records. We also looked at records relating to the management of the service such as the daily records, policies, audits and training records.
Updated
15 February 2017
This inspection took place on the 19 and 20 January 2016. The inspection was announced, which meant the provider knew we would be visiting. This was because we wanted to make sure the provider, or someone who could act on their behalf, would be available to support the inspection. The last full inspection took place in June 2015 and, at that time, one breach of the Health and Social Care (Regulated Activities) Regulations 2014 was found in relation to management of medicines. This breach was followed up as part of our inspection.
Cintre Reachout provides care and support to people, mostly young adults, in their own homes. The service currently provides support to 46 people.
A registered manager was in post at the time of inspection. 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 2008 and associated Regulations about how the service is run.
At our last inspection we found the provider was not making suitable arrangements for the proper safe management of medicines. We found sufficient improvements had been made.
Safe recruitment procedures ensured all pre-employment requirements were completed before new staff were appointed and commenced their employment. Staffing numbers were sufficient to meet people’s needs and this ensured people were supported safely.
People were supported by well trained staff that had sufficient knowledge and skills to enable them to care for them.
Risks to people were assessed and where required a risk management plan was in place to support people manage an identified risk and keep the person safe.
People were supported to maintain good health and were encouraged to access external health care professionals when required.
People’s rights were being upheld in line with the Mental Capacity Act (MCA) 2005. This is a legal framework to protect people who are unable to make certain decisions themselves. People were involved in the planning of their care and support.
People received effective care from the staff that supported them. Staff were caring towards people and there was a good relationship between people and staff. Staff demonstrated an in-depth understanding of the needs and preferences of the people they supported.
There was a positive culture within the service between the people, the staff and the registered manager. There were systems in place to assess, monitor and improve the quality and safety of the service.