Short Break Respite Unit

At our last inspection of 8 April 2016, 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 had a registered manager. 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 21008 and associated Regulations about how the service is run. People, relative and staff described the registered manager as supportive and approachable.

Staff continued to promote people's safety. The staff had received training and were aware of procedures to safeguard people from abuse and manage risks to their health. Each person had a detailed support plan and staff were aware of people's individual needs. People's care plans were updated at each respite stay.

There were robust recruitment procedures in place. There were sufficient numbers of staff on duty to support with their needs throughout the day and night. People received their medicines as prescribed and information about their medicines had been recorded and medicine audits were carried out. There were infection control procedures in place to guide the staff in how to minimise the risks of cross infection. The registered manager met with other members of staff regularly to determine if any lessons could be learnt from events.

Staff continued to receive training and supervision to enable to them to provide the support to people with regard to their assessed needs. People gave consent to the support they received. People were given support to manage their nutrition and access healthcare services should the need arise when staying at the service.

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.

The staff continued to be caring and treated people with dignity and respect.

People continued to receive support which met their individual needs and preferences. People using the service and their relatives knew how to raise a complaint and were confident any concerns raised would be

addressed and resolved. The service had worked with other professionals to support people at the end of their lives.

An open and positive culture was maintained by the service. The registered manager led and supported the staff team to focus upon person-centred support. Quality checks and audits remained in place so that issues were identified and resolutions for improvements put in place. The service operated an on-call system to support the staff providing support and also to cover any care visits that the usual member of staff was unable to attend.

The five questions we ask about services and what we found