This inspection took place on 12 February 2016 and was unannounced. When the service was last inspected in August 2013 there were no breaches of the legal requirements identified.Cintre House is registered to provide accommodation and personal care for up to seven people. At the time of our inspection there were six people living at the service. Cintre support people with a diagnosis of mental health and learning difficulties.
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.
Staffing numbers were sufficient to meet people’s needs and this ensured people were supported safely. Staff we spoke with felt the staffing level was manageable to meets people’s needs safely. Safe recruitment procedures ensured all pre-employment requirements were completed before new staff were appointed and commenced their employment.
Staff were supported to undertake training to enable them to fulfil the requirements of the role. Staff had not been supported by a regular supervision programme. The deputy manager has recently re-introduced a regular programme of supervision and they have been booked with staff members.
People were supported with their medicines by staff and they had their medicines when they needed them.
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 had their physical and mental health needs monitored. All care records that we viewed showed people had access to healthcare professionals according to their specific needs.
Where appropriate people were encouraged to maintain contact with their family and were therefore not isolated from those people closest to them.
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. People and their representatives were involved in the planning of their care and support. Staff demonstrated an in-depth understanding of the needs and preferences of the people they cared for.
People’s needs were met by a small staff team who worked together to offer the best care they could. People received good care that was personal to them and staff assisted them with the things they made the choices to do.
There were effective systems in place to assess, monitor and improve the quality and safety of the service.