The centre was sufficiently resourced, had competent well-trained staff and had systems in place to ensure a good service delivery for residents. Residents using the service confirmed this to the inspector on the day of inspection and were very complementary of the quality of services provided. The inspector found the experience of residents living in the centre was generally positive and they were happy that the service level agreements had been completed since the last
operates seven days a week. Respite services are also available for another five residents on the basis of planned, recurrent, short-term placements of varying durations. During the day, service users attend a variety of day services and some service users are involved in supported employment. However, in the case of short- term illness, AlderServices will endeavour to make alternative arrangements
There was a risk management policy in place, dated April 2015, which was in the process of being reviewed. Individual risk assessments for residents had been undertaken with plans put in place to address risks identified. Site-specific risk assessments had been undertaken and appropriately recorded. A risk register was maintained as a ‘living’ document in each of the houses. There was a health and safety policy and procedure, which was specific to the centre. Health and safety checks were completed at regular intervals. There was an emergency plan in place to guide staff in responding to an emergency. The provider had a risk management department which was accessible as a resource for the centre.
inspector found that they had good access to the local community and enjoyed living in the centre. They also stated that they enjoyed the activities that they took part in at their day services. Some residents did not speak with the inspector; however, the inspector observed that all residents appeared comfortable and relaxed in the company of staff and with each other.
A comprehensive contract had been developed and was signed by the resident and family representative prior to admission to the centre.This document contained relevant information regarding the services to be provided including any fee that would be incurred. Along side this contract to ensure the residents rights were upheld the person in charge had developed a guide for the resident in a format they could understand. Information regarding access to important people such as
The inspector was satisfied that there were suitable arrangements in place to meet the health and nursing needs of residents with dementia. Residents were satisfied with the service provided. Residents had access to general practitioner (GP) services and out-of- hours medical cover was provided. A full range of other services was available on referral including speech and language therapy (SALT) and occupational therapy (OT) services. Physiotherapy services were available on site. Chiropody, dental and optical services were also provided. The inspector reviewed residents’ records and found that some residents had been referred to these services and results of appointments were written up in the residents’ notes.
Residents with mobility needs are further assisted at the centre through the provision of a ramp leading to the front door entrance. Residents are supported by a team of social care workers. On weekdays, two social care workers are available at key times during the day such as in the morning and evening times to support residents. However, staffing levels reduce to one worker during times when residents are at day services or engaged in part-time employment. On weekends, two staff members are available throughout the day to meet residents’ assessed needs. At night-time, an overnight staff member is available at Kennington to provide assistance to
required) access to GP services and a range of other allied healthcare professionals such as the dentist, optician and occupational therapist. This in turn provided the residents with support to maintain a healthy lifestyle and manage any health related issue they may have. For example, one resident with diabetes was being regularly screened and there was a diabetic specific care plan in place to support them experience best possible health.
The provider had suitable arrangements in place for the management of risk.The person in charge had recently reviewed and updated risk records in the centre. As a result of this some additional risks and their control measures had been identified and recorded. This ensured that there were systems and interventions in place to reduce risk to residents, and that this information was available to guide staff. Suitable arrangements were in place to protect residents and staff from the risk of fire. In response to the previous inspection findings, the provider had ensured that all staff were scheduled to take part in fire evacuation drills at least once each year. To date most staff had attended a fire drill in accordance with this schedule, and a remaining two staff were scheduled to take part in a fire drill before the end of April2018. Considerable work had been carried out, in conjunction with the organisation's health and safety officer, to review fire drill outcomes, to learn from these findings and to introduce alternative procedures to ensure that fire drills could be undertaken promptly. These measures had been effective and the time taken to evacuate residents at night had reduced considerably.
experiencing a learning disability with a diagnosis of autistic spectrum disorder. The centre consisted of a modern, four bedroomed bungalow situated in a town in County Louth. There were good sized grounds surrounding the centre. Each of the residents had their own bedroom which had been personalised to their own taste. The last inspection in the centre had been completed in April 2017. The purpose of this inspection was to inform a registration renewal decision.
All staff had now completed necessary mandatory training in management of behaviours that challenge, fire safety and safeguarding vulnerable adults. Staff had also completed training in other areas such as safe administration of medication and administration of emergency medication for the management of seizures. A training needs analysis for the centre had been revised and refresher training was also available and scheduled for staff. Further mandatory training in complaints and risk management would be incorporated into staffs training needs requirements for working in Sunbeam House Services.
There is a Risk Management policy in place. St Michaels House are updating the Risk Management Policy to reflect changes in assessment of risk including methodology, updating of risk assessment template and risk register template to ensure that significant risks are sufficiently managed, tracked and reviewed for effectiveness. Revised policy will be brought to the Quality Safety Executive Committee for approval May 2018
address previously identified fire risks and overall their fire safety management was not sufficently robust ensuring residents were protected from potential risk of fire. The provider failed to put adequate measures in place to address two fire risk assessments completed by a fire officer in 2016 and 2018 which identified significant fire safety risks in the centre. On the day of the inspection, inspectors found serious evacuation risks that had been identified during a night time fire drill in July
refresher training to ensure all staff were up to date in mandatory training in order to ensure that the residents needs were appropriately and continuously met. There was a complaints policy in place dated February 2018 and the inspector observed details of advocacy and complaints procedure on display in the centre. Residents spoken with informed the inspector that they would approach staff with any issues or concerns. At the time of inspection, one complaint had been made in the past year and was in the process of being dealt with by the complaints officer and the regional manager.
The purpose of regulation in relation to designated centres is to safeguard vulnerable people of any age who are receiving residential care services. Regulation provides assurance to the public that people living in a designated centre are receiving a service that meets the requirements of quality standards which are underpinned by regulations. This process also seeks to ensure that the health, wellbeing and quality of life of people in residential care is promoted and protected. Regulation also has an important role in driving continuous improvement so that residents have better, safer lives.
The centre is a large detached residence located in a rural setting but close to a small village in Co. Kildare. The property is subdivided into three separate living areas one of which is a self contained apartment where one resident is supported. The property was homely, well maintained, spacious and clean. The centre provides 24hour care to both male and female adults, all of whom require support around their mental health needs. The provider has supplied five cars in order to transport residents to their day services (in line with their preferences) and to access local amenities. The staffing levels in the centre comprise of the person in charge, a team leader, deputy team leaders, a nurse, social care workers and assistant social care workers. Residents have access to a range of allied health professionals in order to support them.
The provider's statement of purpose details that the centre provides full time long- term care to 10 adult residents, both male and female with severe to profound intellectual and physical disabilities and behaviours that challenge. Care can be provided to residents who require high support and full time nursing care. The centre comprises a single story house on its own grounds located in a rural town. It is accessible to all services and all amenities. The premises has its own safe gardens and all areas and facilities are easily accessible to the residents. Day services are attached to the organisation.
The inspector found that in general staff in the centre had access to training and refreshers in line with residents’ needs. There was a live traffic light system in the centre which highlighted mandatory staff training requirements and a training plan was in place for the year ahead. A number of staff required positive behaviour support training. Staff were in receipt of formal supervision to support them to perform their duties and best support residents with their care and support needs. Records in the centre were found to be well maintained, up-to-date, and guiding staff practice to support residents. There was a complaints policies and procedure in place and they were available in a format accessible to residents. Residents had access to advocacy services if they so wished. There was a local complaints officer in place and residents and staff who spoke with the inspector could clearly explain the complaints procedure. There was evidence of follow up, resolution and response to complaints.