Background to this inspection
Updated
14 March 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
Our inspection was undertaken by one inspector.
Service and service type:
Adjuvo (Midlands) Support for Living Ltd, Satya Nivas is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
This was an unannounced inspection.
What we did:
The inspection site visit activity started on 05 February 2019 and ended on 05 February 2019. We contacted staff, families and health professionals to find out their experience of the service on 07 and 15 February 2019.
We reviewed the information we had about the service which included any notifications that had been sent to us. A notification is information about important events which the provider is required to send us by law.
We contacted the health and social care commissioners who monitor the care and support the people receive.
We had not asked the provider to send us a provider Information return (PIR). A PIR is a form that asks the provider to give some key information about the service. This includes what the service does well and improvements they plan to make. However, we gave the provider the opportunity to share any information they felt relevant during the inspection.
We spoke with four people who used the service, four support staff, a team leader, the registered manager and the provider. We also spoke with two social care and health professionals and contacted one relative.
We reviewed two people’s care files, looked at three staff files and reviewed records relating to the management of medicines, complaints and how the provider monitored the quality of the service.
After the site visit we asked the registered manager for details of the planned programme of training and staffing rotas.
Updated
14 March 2019
About the service:
Adjuvo (Midlands) Support for Living Ltd, Satya Nivas provided personal care and support to up to 10 people with learning disabilities and/or autism and mental health difficulties. The accommodation is in a residential area in the city of Leicester.
The service worked within the principles and values that underpin Registering the Right Support and other best practice guidance. This ensured that people could live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control over their own lives, choice, and independence.
People’s experience of using this service:
¿People were happy with the care and support they received and had developed positive relationships with staff.
¿The staff were friendly, passionate about their work and caring; they treated people with respect, kindness, dignity and compassion.
¿People were protected from the risk of harm and received their prescribed medicines safely.
¿Staff were appropriately recruited and there were enough staff to provide care and support to people to meet their needs.
¿Staff had access to the support, supervision and training they required to work effectively in their roles.
¿People were supported to maintain good health and nutrition and live fulfilled lives.
¿People had detailed personalised plans of care in place to enable staff to provide consistent care and support in line with people’s personal preferences.
¿Staff knew their responsibilities as defined by the Mental Capacity Act 2005 (MCA 2005). The provider was aware of how to make referrals if people lacked capacity to consent to aspects of their care and support and were being deprived of their liberty.
¿Information was provided to people in an accessible format to enable them to make decisions about their care and support.
¿People knew how to raise a concern or make a complaint and the provider had implemented effective systems to manage any complaints received.
¿The service had a positive ethos and an open culture. The registered manager was approachable, understood the needs of the people in the home, and listened to staff and relatives.
¿There were effective systems in place to monitor the quality of the service and drive improvements.
More information is in the full report
Rating at last inspection: This was the first comprehensive inspection since the home had changed ownership.
Why we inspected: This was a scheduled inspection.
Follow up: We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. Further inspections will be planned.