Background to this inspection
Updated
28 June 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.
The unannounced inspection took place on 1 June 2016 and was undertaken by one inspector.
Before the inspection we reviewed information we held about the service. This included previous inspection reports and notifications we had received. A notification is information about important events which the service is required to send us by law.
During the inspection we spoke with two friends/relatives, the registered manager and three members of staff. We also spoke with two health care professionals, a physiotherapist and a speech and language therapist who had both supported people within the service.
Both people had very limited verbal communication and so were unable to fully tell us their views. We spent time in the communal parts of the home observing how people spent their day as well as observing the care and support being provided by the staff team.
We looked at all records related to people’s individual care needs and records related to the administration of medicines. We viewed two staff recruitment files, training records for all staff and records associated with the management of the service including quality audits.
Updated
28 June 2016
The inspection took place on 1 June 2016 and was unannounced.
5 Grosvenor Crescent is part of the Leonard Cheshire disability and provides care and accommodation for up to three people. On the day of the inspection two people lived within the home. 5 Grosvenor Crescent provides care for people who have a learning disability and may also have physical disabilities.
The service had a registered manager 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.
During the inspection people and staff were relaxed, the environment was clean and clutter free. There was a calm and pleasant atmosphere.
People’s relatives and friends told us they felt their loved ones were safe. Advice was sought to help safeguard people and respect their human rights. All staff had undertaken training on safeguarding adults from abuse, they displayed good knowledge on how to report any concerns and described what action they would take to protect people against harm. Staff told us they felt confident any incidents or allegations would be fully investigated. The manager had sought and acted on advice where they thought people’s freedom was being restricted.
Care records were focused on giving people control. Staff responded quickly to people’s change in needs. People’s preferences were sought and respected. People’s life histories, disabilities and abilities were taken into account, communicated and recorded. Staff provided consistent personalised care, treatment and support. People’s risks were managed well and monitored.
People were promoted to live active lives and were supported to go out and use local services and facilities. Activities were meaningful and reflected people’s interests and individual hobbies. A relative told us their loved one enjoyed the activities staff enabled them to take part in.
People were supported to maintain a healthy balanced diet. Dietary and nutritional specialists’ advice was sought so that people with complex needs in their eating and drinking were supported effectively.
People had their medicines managed safely. People were supported to maintain good health through regular access to health and social care professionals, such as GPs, physiotherapists and speech and language therapists.
People received consistent co-ordinated care when they moved between services. Staff ensured individual preferences were respected and care needs continued to be met.
Staff were encouraged to be involved and help drive continuous improvements. This helped ensure positive progress was made in the delivery of care and support provided by the service.
People knew how to raise concerns and make complaints. An easy read version of the complaints policy was made available.
Staff received a comprehensive induction programme. There were sufficient staff to meet people’s needs. Staff were appropriately trained and had the correct skills to carry out their roles effectively. The service followed safe recruitment practices to help ensure staff were suitable to carry out their role.
Staff described the management as very open, supportive and approachable. Staff talked positively about their jobs. Comments included, “I really enjoy my job, I look forward to coming to work”, “My job is right down my street. I like to do something to improve people’s lives” and “This is what I like to do, I enjoy my job”.
There were effective quality assurance systems in place that monitored people’s satisfaction with the service. Timely audits were carried out and investigations following incidents and accidents were used to help make improvements and ensure positive progress was made in the delivery of care and support provided by the service.