We inspected Scott’s View at South Farm on 3 May 2017. The inspection was announced.

Scott’s View at South Farm provides care and support for up to five people who may experience learning disabilities, or older people with memory loss associated with conditions such as dementia. It is located in a rural setting on the east coast of Lincolnshire. Two people were living in the home at the time of our inspection. The provider was also the manager of the home. We refer to this person as ‘the provider’ throughout the report.

At our last comprehensive inspection on 9 December 2015 we identified three breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2017. This was because medicine arrangements and staff recruitment procedures were not sufficiently robust to protect people. In addition, the provider did not have suitable arrangements in place to effectively monitor and assess the quality of the services people received.

We carried out a focused inspection on 20 May 2016 to check whether the provider had made improvements to the ways in which they managed medicines, recruited staff and monitored the quality of the service. At this inspection we found the provider had made sufficient improvements to the way in which they managed medicines and recruited staff. However, they had not made sufficient improvements to the way in which they monitored the quality of the service. This was a continued breach of Regulation 17 Health and Social Care Act 2008 (Regulated Activities) Regulations 2017.

We carried out a further focused inspection on 23 November 2016 to check whether the provider had made improvements to the way in which they monitored the quality of the service. At the inspection we found that the provider had made sufficient improvements to the way in which they monitored the quality of the service to ensure they met the legal requirements.

We did not revise the rating for the key questions ‘Is the service safe?’ and Is the service ‘well-led?’ at our focused inspections as this would require a longer term track record of consistent good practice.

During this comprehensive inspection we found that the provider had maintained the improvements we saw at our focused inspections.

CQC is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) and to report on what we find. DoLS are in place to protect people where they do not have capacity to make decisions and where it is considered

necessary to restrict their freedom in some way, usually to protect themselves.

The provider acted in accordance with the MCA and understood how to implement DoLS when required. People were supported to make their own decisions where ever possible. When it was not possible the provider ensured that decisions were made in people’s best interests.

People felt safe and well cared for at Scott’s View at South Farm. System were in place to keep people safe and staff understood how to identify and report any safety concerns. We noted one area of the environment which posed a potential risk to people’s safety which the provider took immediate action to rectify.

Arrangements were in place for the safe management of medicines and people were supported to access all of the health care services they required. People were supported to enjoy a varied diet and to eat and drink enough to stay healthy.

There were enough staff available to ensure people received individual support in a timely and appropriate manner. Care plans were in place to guide staff as to how best to meet people’s needs and wishes. People’s privacy and dignity was maintained and staff provided support in a warm and caring manner.

People were able to enjoy a varied social life and had access to a range of meaningful activities. People were encouraged to make use of local amenities and be an active part of the local community.

People who lived in the home and staff members felt able to rai

We previously inspected Scott’s View at South Farm on 9 December 2015. We found that the provider was not meeting the standards we expected and there were breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because the systems in place to manage medicines, recruit new staff and monitor the quality of the service were not effective. After the inspection the provider wrote to us to say what they would do to meet the legal requirements in relation to the breaches.

At the focused inspection on 20 May 2016 we found that the provider had made improvements to the way in which they managed medicines and recruited new staff. However, they had not made sufficient improvements to the way in which they monitored the quality of the service. This was a continued breach of Regulation 17 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

We undertook this focused inspection on 23 November 2016 in order to check whether the provider had completed their action plan and to confirm that they now met the legal requirements. At this inspection we found that the provider had made sufficient improvements to the way in which they monitored the quality of the service so as to ensure they met the legal requirements.

This report only covers our findings in relation to Regulation 17 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can read the reports from our previous inspections by selecting the ‘all reports’ link for Scott’s View at South Farm on our website www.cqc.org.uk.

Scott's View at South Farm provides care and support for up to five people who may experience learning disabilities, or older people with memory loss associated with conditions such as dementia. It is located in a rural setting on the east coast of Lincolnshire. Two people were living in the home at the time of our inspection. The provider was also the manager of the home. We refer to this person as 'the provider' within the report.

The provider had implemented a framework for monitoring the quality of services that people received. People could be assured that any shortfalls in the quality of services would be identified and rectified in a timely manner. People could also be assured that the provider promoted a culture of continuous improvement.

We previously carried out an unannounced comprehensive inspection of this service on 9 December 2015. During this inspection we found that the provider was not meeting the standards we expected and there were breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because the systems in place to manage medicines, recruit new staff and monitor the quality of the service were not effective. After the inspection the provider wrote to us to say what they would do to meet the legal requirements in relation to the breaches.

We undertook this focused inspection on 20 May 2016 in order to check whether the provider had followed their plan and to confirm that they now met the legal requirements. At this inspection we found that the provider had not made improvements in all of the areas we had identified.

This report only covers our findings in relation to those requirements. You can see what action we have told the provider to take at the back of the full version of this report. You can read the report from our last comprehensive inspection by selecting the 'all reports' link for Scott's View at South Farm on our website www.cqc.org.uk.

Scott's View at South Farm provides care and support for up to five people who may experience learning disabilities, or older people with memory loss associated with conditions such as dementia. It is located in a rural setting on the east coast of Lincolnshire. Two people were living in the home at the time of our inspection. The provider was also the manager of the home. We refer to this person as 'the provider' within the report.

People received their medicines as prescribed. Arrangements were in place for people to be supported to manage their own medicines in a safe way when they wished to do so. There were appropriate arrangements in place to ensure medicines were correctly ordered, received, stored and disposed of.

People were protected from the risk of being cared for by staff who were not suitable because the provider had appropriate systems in place to recruit new staff.

The provider did not have systems in place to assure people that they could effectively identify shortfalls in the quality of the services provided and plan for continuous improvements within the home.

We inspected Scott’s View at South Farm on 9 December 2015. The inspection was unannounced.

Scott’s View at South Farm provides care and support for up to five people who may experience learning disabilities, or older people with memory loss associated with conditions such as dementia. It is located in a rural setting on the east coast of Lincolnshire. Two people were living within the home during the inspection.

This was the first inspection of the home since it was registered with the Care Quality Commission (CQC) in May 2015. The provider was also the manager of the home. We refer to this person as ‘the provider’ within the report.

At this inspection we found that the provider was not meeting our legal requirements for medicines management, staff recruitment and good governance. You can see what action we told the provider to take at the back of the full version of the report.

People were supported in a warm and respectful way that reflected their wishes and preferences about how they wanted to be cared for. They felt safe living in the home and staff understood how to identify, report and manage any concerns in order to keep them safe from harm or abuse. However, their safety was not always maintained because the provider did not adhere to safe systems for medicines management. In addition, the provider did not have safe staff recruitment systems in place.

People had access to the healthcare services they needed. They also had a range of nutritious meals and drinks in order to keep them healthy. They were supported to pursue their personal interests and take part in a range of meaningful pastimes both in the home and the local community.

People could openly express their opinions and views and they were consulted about whatever happened in the home. The provider and staff listened to what they had to say and took action to resolve any issues. However, the provider did not have systems in place to regularly monitor the effectiveness of the care and treatment people received.