11 January 2024
During an inspection looking at part of the service
Eversley is registered to provide accommodation with personal care needs to eight people who have a learning disability or autistic spectrum disorder. There were 7 people living at Eversley at the time of this inspection.
People's experience of using this service and what we found
There were a number of outstanding fire risks and repairs needed for the environment, such as a fire risk assessment identifying risks needing attention to improve fire safety.
The garden areas were in need of maintenance to help improve and enhance living areas for people.
Auditing of the service had not identified appropriate actions to show improvements to managing supervision of staff, improve training uptake of necessary topics and management of each person's one to one hours. Staff had not heard of CQC 's publication, 'Right are, right support, right culture.' The area manager and home manager were responsive and by day two of this inspection had taken some actions to manage training, supervision and responded to fire risks.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessment and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
People received care and support that was tailored to their individual needs and wishes. People and their relatives were actively involved in planning and reviewing their care plans. People and relatives shared very positive comments about the staff and the support they received. Staff knew people well and were responsive to changes in their needs.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People had the necessary capacity assessments and legal processes in place to ensure their rights were fully respected
People continued to receive care and support that protected them from the risk of harm and abuse. Staff knew how to recognise and report the signs of abuse and poor practice.
Staff monitored people's health and supported them to access and follow healthcare advice. People received their medicines as prescribed and accurate records were maintained.
Rating at last inspection
The last rating for this service was rate good published (27/9/2017). The service has been rated requires improvement at this inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service. We undertook a focused inspection to review the key questions of safe and well-led only. For those key question not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection by selecting the 'all reports' link for Eversley on our website at www.cqc.org.uk
Enforcement
We have identified a breach of the regulations in relation to lack of effective governance of the service and safe care and treatment.
Please see the action we have told the provider to take at the end of this report.
Follow up
Will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work with the local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect the service.