Safeharbour (260 Hagley Road)

Updated 21 February 2020

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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

This inspection was carried out by one inspector.

Service and service type

Safeharbour(260) is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. 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 inspection was announced. We gave the service 24 hours’ notice of the inspection. This was because we were made aware of a Norovirus within the home and we wanted to be sure it would be safe to visit. The registered manager confirmed the virus was within their sister home and not their location so the inspection went ahead.

What we did before the inspection

Due to technical problems, the provider was not able to complete a Provider Information Return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We took this into account when we inspected the service and made the judgements in this report. Prior to the inspection we reviewed information we held about the service since the last inspection. This included information about deaths, accidents/incidents and safeguarding alerts which they are required to send us by law. We sought feedback from the local authority and used all this information to plan our inspection.

During the inspection

During the inspection we were unable to speak with people to understand how they felt about the service, as they were unable to verbally communicate their views. We spoke with four relatives, two members of staff, a housekeeper, two team leaders, the registered manager and one of the provider’s relatives. We reviewed a range of records, this included the care records for two people, and their medicine records. We looked at three staff files in relation to recruitment and records relating to the management of the service.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.

Updated 21 February 2020

About the service

Safeharbour(260) is a residential care home providing personal care and accommodation for up to four people with learning disability. On the day of the inspection, four people were receiving support.

Services for people with learning disabilities and or autism are supported

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can 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, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The service consistently applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

People’s experience of using this service and what we found

People received support that was safe. The registered manager ensured people were safe by making sure all staff received safeguarding training to keep them safe from harm. Recruitment systems were in place so only suitable staff could support people. Where people needed support with medicines this was received as it was prescribed. Staff had access to PPE to ensure infection control procedures were followed. Systems were in place to monitor trends where accidents or incidents had taken place.

People received effective care. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Staff were supported so they had the skills to meet people’s needs. People’s nutrition and healthcare was maintained by staff who were trained to do so.

People received support that was caring, kind and compassionate. People were supported in line with their likes, dislikes and preferences. Staff promoted people’s privacy, dignity and independence.

People received support that was responsive to their needs. Care plans were in place to identify how people would be supported. The provider had a complaints process in place, so concerns could be raised.

The service was well led. The culture in the service was open, empowering and inclusive. Communication standards encouraged relatives to share their views by completing questionnaires and attending planned meetings. Spot checks and audits took place to ensure the quality of the service was maintained.

Rating at last inspection

The last rating for this service was requires Improvement (Report published 23 January 2019)

Why we inspected

This was a planned comprehensive inspection based on the previous rating.

Follow up

We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk