Background to this inspection
Updated
21 December 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 20 and 28 September 2016 and was announced. The provider was given 48 hours’ notice because the location provides a domiciliary care service and we needed to be sure someone would be available in the office to assist us. The inspection was carried out by one inspector and took place at the office base for the service.
We looked at the care and support records of four people who used the service. We looked at records related to the management of the service, such as audits, staff files and recruitment records. We also reviewed information we held about the service including any statutory notifications that the provider had sent us. Notifications are made to us by providers in line with their obligations under the Care Quality Commission (Registration) Regulations 2009. These are records of incidents that have occurred within the service or other matters that the provider is legally obliged to inform us of.
During the inspection we met with four people who used the service. They visited the office and spoke with us about their views of the care they received. Following the inspection we also telephoned four people’s relatives to discuss their views. We spoke with the registered manager, two customer relations managers and four care workers. We were sent information following the inspection to support us with our enquiries.
Updated
21 December 2016
This inspection was announced and took place on 20 and 28 September 2016. The service was last inspected in July 2014 where the provider was found to be complying with all relevant regulations at that time.
Barnsley MBC Learning Disability Services is a supported living service which provides care and support for people with learning disabilities. Care is provided to people in their own homes via tenancy agreements. At the time of this inspection the service provided care to approximately 50 people, some of whom lived on their own, whilst others were accommodated in shared houses.
A registered manager was in place. 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 told us they felt safe when supported by staff employed by the service. All staff members had been trained in recognising the signs of potential abuse and how to respond. A safeguarding policy was in place and records showed staff had been proactive in referring any historic concerns to the local safeguarding team.
Risks had been assessed and re-evaluated regularly. People were encouraged and supported to be as independent as they could be, and risks related to independent living had been assessed and mitigating actions identified. Accidents and incidents had been monitored and measures put in place to reduce the likelihood of them reoccurring.
There were enough staff to meet people’s needs. Processes were in place to ensure any staff absences could be covered so people still received their scheduled visits. Robust recruitment procedures had been followed.
Staff had undertaken training in a range of subjects through both online e-learning and face to face practical training. Staff training was monitored to ensure any required updates or refresher training was received on time, so staff skills and knowledge remained up to date. Staff received additional training in relation to people’s specific needs, and their skills were assessed to determine if they were competent to deliver tasks safely.
Care Quality Commission (CQC) is required by law to monitor the application of the Mental Capacity Act 2005 (MCA), and to report on what we find. MCA is a law that protects and supports people who do not have the ability to make their own decisions and to ensure decisions are made in their ‘best interests’. We found the provider was complying with their legal requirements. The manager and staff were able to describe how the principles of MCA were adhered to in daily practice.
People’s nutritional needs had been assessed and specific information provided about how to meet these needs. Food and fluid intake was monitored where necessary. Records showed people’s likes were taken into consideration and that people were involved in choosing and making their own food.
People we spoke with told us they were happy with the care they received. They told us care was planned around their choices and that staff listened to them.
People’s needs had been assessed and specific and detailed care plans had been created to ensure all staff had access to information about people’s needs.
People were encouraged to share their feedback. We saw very positive responses had been received following a survey of people and their relatives in September 2015. The results had been collated and analysed and the responses indicated people were satisfied with the care they received.
The service had received one complaint in the 12 months prior to our inspection and this complaint had been investigated and responded to appropriately and in line with the provider’s complaints policy.
People and their relative’s told us the service was managed very well. The manager shared with us their vision for the culture of the service, which was to develop people’s independence and enable them to enjoy full lives. All of the staff we spoke with told us they agreed this culture was in place.
Staff told us they felt listened to and valued. Staff meetings were held regularly. Their feedback had been sought through a staff survey.
A range of checks were carried out to monitor the quality of the service. Care records were maintained to a good standard and stored securely so they remained confidential.
The manager told us the service was due to cease operation in April 2017. Processes had been put in place to minimise disruption to people who used the service and staff during the transition to new providers.