Holmbury Dene (Respite)

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The service has a registered manager in post at the time of the inspection. This manager was newly registered with the Care Quality Commission. 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.

People were supported to remain safe at the service. Staff used the provider's safeguarding policy and guidance to continue to protect people from harm and abuse. Staff completed training in safeguarding and had gained the knowledge to identify and report to the local authority an allegation of abuse.

Risks to people were identified. Staff reviewed people's needs and risks associated with them. Risk management plans were developed which provided staff guidance on how to care for people in a safe way. The registered provider's infection control policy was followed by staff. Staff maintained the cleanliness of the service which helped to reduce the risk of infection.

People were supported by enough staff each day. There were sufficient staff available to meet people's individual needs. Safer recruitment procedures were followed to ensure suitable skilled staff were employed to work with people.

People's medicines were managed safely. There was an established system in place for the administration, ordering, storage and disposal of people's medicines.

Staff received support through training, induction, supervision and appraisal.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People consented to care and treatment before staff supported them.

Health, social care services and specialist support was sought when people's needs changed. Healthcare professional's recommendations and guidance for people was followed by staff.

Staff carried out people's care and support in privacy while protecting their dignity. Staff knew people well and understood their individual needs and the support required to meet them.

People had an assessment of their needs. Each person's care plan identified their individual care needs and the specific support needed to ensure these were met. People were a part of their local community and attended various outdoor activities. At the time of the inspection, there were no people receiving palliative care support or end of life care.

There was an established complaints procedure at the service. Complaints were managed well and each complaint was investigated and a response provided to the complainant.

Staff gave mixed views on the overall management of the service. The registered manager completed audits of the quality of care provided to people on a regular basis. The registered manager sent suitable notifications to the Care Quality Commission of events that occurred. The registered manager had developed joint working relationships with health and social care services.

The five questions we ask about services and what we found