13 May 2021
During an inspection looking at part of the service
An Diadan House is a residential care home which can support up to nine people in one adapted building. The service specialises in supporting people with learning disabilities and/or autism. At the time of this inspection there were nine people using the service.
People’s experience of using this service and what we found
People were safe and well looked after by staff. Staff had received training to safeguard people from abuse and knew how and when to report safeguarding concerns if these should arise.
The provider made sure there were enough staff, with the right skills and experience, to support people. They carried out recruitment checks on new staff to make sure they were suitable to support people.
Risks to people had been assessed and plans were in place to manage these in an appropriate way. Staff understood the risks to people and what action to take to make sure these were minimised. This included instances when people displayed behaviour which may have challenged them and/or others.
Health and safety checks were carried out of the premises and equipment at regular intervals. The premises were clean and tidy. Staff followed current practice to reduce infection and hygiene risks at the service. Visitors to the service were given information to help them reduce the risk of catching and spreading infection.
People were supported to take their prescribed medicines.
The provider had arrangements in place to make sure any accidents and incidents were investigated, and people kept involved and informed of the outcome.
Relatives were positive about the service and the outcomes experienced by their family members. Staff knew people well and were enthusiastic about helping people to achieve good outcomes. Relatives and staff said the home manager, was open, approachable and responsive. The home manager was open about when things went wrong and proactive about putting things right.
The home manager encouraged people, relatives and staff to have their say about how the service could improve and acted on this feedback. The home manager had clear priorities for continuously improving the service to enhance the quality of people lives. They had access to resources and support from the provider to make the improvements needed.
There were systems in place to monitor and assess the safety and quality of the service. When issues had been found through checks they had been addressed promptly.
The service worked proactively with other agencies and healthcare professionals. The provider acted on their recommendations to improve the quality and safety of the service for people.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
This service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture. People were supported to have as much choice and control as possible over how their care and support needs were planned and delivered. People were involved in making decisions about how the service was designed and delivered. The provider ensured people’s rights were respected and promoted a culture within the service where people were supported in the least restrictive way as possible.
For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk.
Rating at last inspection
The last rating for this service was good (published 29 January 2019).
Why we inspected
The inspection was prompted in part due to concerns received from Ofsted about one of the provider's other services regarding unexplained injuries on people using the service and poor joint working with other agencies. We also identified a pattern in the types of notifications CQC received from the provider. A decision was made for us to inspect and examine those risks.
We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe and well-led sections of this full report.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.