This inspection took place on the 29 September 2016 and was announced. At the previous inspection visit which occurred in October 2014 all standards inspected were met and we rated the service ‘Good’.Westside Home 2 provided accommodation and personal care for six people with various mental health issues. During the day of our inspection there were no vacancies.
A registered manager was in post. 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 said they felt safe living at the home and staff made them feel safe. Staff said they attended safeguarding adults training. The staff we spoke with had a clear understanding of the safeguarding of adults procedures. They were able to describe the types of abuse and the actions they must take.
Risks were assessed and staff were knowledgeable on the actions they must take to minimise risks. Staff told us risk assessments were discussed at community team meetings and were developed by the key worker together with the person.
Staffing levels were being maintained with permanent staff and reflected the current needs of people who used the service. This meant that sufficient staff were deployed to reflect the two recent admissions. The rota in place showed two staff were on duty throughout the day and one member of staff at night.
Medicine systems were safe. Medication administration records (MAR) charts were signed by staff to indicate the medicines administered. Protocols were in place for medicines administered "when required" (PRN).
Staff were supported to develop their skills and their performance was monitored. Staff attended essential training as identified by the provider and specific training to meet the changing needs of people. One to one meetings were regularly held with the line manager and at these meetings concerns, training and personal development was discussed.
Staff had received training in the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). However, no restrictions were in place and people could access and exit the home as long as it did not impact their treatment and well-being.
People were supported with their ongoing health care needs. Reports of healthcare visits were maintained and demonstrated people had access to specialists and had regular check-ups, for example optician and dental check-ups.
People told us the staff were kind and caring. We saw staff interacted with people and where people became agitated we observed staff used a calm approach to prevent any escalations.
People were supported with their activities programme which included college, various day services, gym and visiting friends and relatives.
Support plans were signed by the person to show their agreement. People told us records were kept about them.
Systems were in place to gather people's views during community residents meetings. Questionnaires were used to seek feedback for people who used the service and relatives.
Systems and processes were used to assess, monitor and improve the quality, safety and welfare of people. There were systems of auditing which ensured people received appropriate care and treatment.