5 September 2014
During a routine inspection
Is the service safe?
Is the service effective?
Is the service caring?
Is the service responsive?
Is the service well led?
This is a summary of what we found -
Is the service safe?
Emergency fire procedures were in place. Fire alarms and emergency lighting was checked every week. A staff member told us people were informed of the required procedures when they were first admitted and they were regularly reviewed.
We saw a closed circuit television security system was in operation at Acorn House. This helped ensure the safety of people who used the service. We spoke with one person who used the service and we were told, "I feel very safe here - 110%. I am very happy living here."
Deprivation of Liberty Safeguards (DoLS) become important when a person is judged to lack the capacity to make an informed decision related to their care and treatment. The provider told us no applications for DoLS had been made but knew the procedure to be followed if an application needed to be made. On the day of our inspection, no person who used the service was subject to a DoLS.
Is the service effective?
People who used the service underwent an assessment of their needs when they were first admitted to Acorn House. We saw their choices and preferences had been recorded within their individual care plans.
Resident`s meetings were held on a weekly basis. This ensured people were given the opportunity to express their views and experiences in relation to how their care and support was provided.
Is the service caring?
We were told by a staff member that people`s physical health was assessed when they were first admitted into Acorn House. For example, appointments were made with doctors and dentists to register the person with the service.
People we spoke with told us they were given information and understood how their support was provided. One person told us, "All our support is planned and structured around what we need. We are always asked what we want to do."
Is the service responsive?
The provider had their own minibus which helped people keep involved in social activities around the local community and beyond. We were told people had attended different conventions around the country.
The provider had a complaints procedure in place and people were told about it when they were admitted to Acorn House. We saw a copy of the procedure displayed on the walls at the home.
Is the service well led?
The provider had procedures in place to monitor the quality of service being provided to people who used the service. Care plans were reviewed every three months, or earlier if necessary. This helped ensure staff members had up to date information related to the support needs of the people they supported.
GP and other professional appointments had been recorded within the person`s care plan. This showed a multi-disciplinary approach to providing care and ensured people had their care needs met appropriately.