Background to this inspection
Updated
24 January 2018
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 was 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 13 and 16 October 2017 and was unannounced. The inspection was undertaken by one adult social care inspector.
Prior to the inspection we looked at the information we had about the home. This information included the statutory notifications that the provider had sent to CQC. A notification is information about important events which the home is required to send us by law. We had not requested the provider to complete the Provider Information Record (PIR) before the inspection. This is a form that asks the provider to give information about the service, tells us what the service does well and the improvements they plan to make.
We contacted five health and social care professionals as part of our planning process and invited them to provide feedback on their experiences when visiting the home. We received a response from five professionals. Their feedback has been included in the main body of the report.
During our visit we met and spoke with three people living in the home. We sat and observed other people who were unable to communicate. We spent time with the manager, deputy manager and four staff members. We looked at two people’s care records, together with other records relating to their care and the running of the service. This included audits and quality assurance reports, employment records of three staff, policies and procedures.
Updated
24 January 2018
This inspection took place on 13 and 16 October 2017 and was unannounced. The previous inspection was carried out on 18 and 19 August 2016 and there had been several breaches of legal requirements at that time. We rated the home requires improvement in all areas of the key questions which include, safe, effective, caring, responsive and well led. We found at this inspection significant improvements had been made since the last inspection. The manager had submitted monthly action plans to the Commission so that we could monitor the improvements made.
At the time of the inspection there was not a registered manager registered with the CQC. The appropriate action had been taken and manager had applied to register with the Commission. A registered manager is a person who has registered with the Care Quality Commission to manage the home. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements of the Health and Social Care Act 2008 and associated Regulations about how the home is run.
Faith House provides accommodation and personal care for up to eight people. At the time of our visit there were six people living at the home.
People were protected from abuse because staff understood how to keep them safe, including understanding the processes they should follow if an allegation of abuse was made. All staff informed us concerns would be followed up if they were raised.
There were enough suitable staff to meet people's needs. Risk assessments were carried out to enable people to retain their independence and receive care with minimum risk to themselves or others.
Staff recruitment procedures were safe and the employment files contained all the relevant information to help ensure only the appropriate staff were employed to work at the home.
People received their medicines when they required them and in a safe manner. Staff received training and guidance to make sure they remained competent to handle people's medicines.
Staff received training to ensure they had the skills and knowledge required to effectively support people. Staff felt well supported by the manager and received regular supervision sessions and appraisals.
The home was meeting the requirements of the Deprivation of Liberty Safeguards (DoLS). Staff had received appropriate training, and had a good understanding of the Mental Capacity Act 2005 (MCA) and the DoLS. Staff had the right skills and training to support people appropriately.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.
People were supported to eat and drink according to their likes and dislikes. Staff were caring, kind and treated people with respect. People's right to privacy was maintained by the actions and care given by staff members.
People's personal and health care needs were met and care records guided staff in how to do this. There was a variety of activities for people to do and take part in during the day, and people had enough social stimulation.
The home supported people to maintain their health and wellbeing and people were supported to access healthcare services and any treatment required promptly.
Complaints were investigated and responded to and people knew who to speak with if they had concerns.
The manager was well thought of by staff and people and was hands-on and visible within the home. This promoted a positive culture with a strong emphasis on teamwork.
Quality assurance systems were in place to assess and monitor the quality of service that people received and identify any areas that required improvement.