Background to this inspection
Updated
10 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.
This inspection took place on 28 April 2016 and was unannounced. This inspection was done to check that improvements had been made after our comprehensive inspection on 20 November 2014.
We reviewed the information we held about the home and looked at the notifications they had sent us. A notification is information about important events which the provider is required to send us by law. We also contacted the local authority for information as they are responsible for funding some people’s care.
One inspector carried out this inspection. During our inspection we spoke with four people who used the service the registered manager, two senior care staff and five care staff.
We looked at two care records, medicine records, staff training certificates and quality audits. We spent time in the communal areas of the home to see how people were supported and how staff were with people.
Updated
10 June 2016
We carried out an unannounced comprehensive inspection of this service on 28 April 2016. At the last inspection on 20 November 2014 the provider was rated as Requires Improvement.
The service provides accommodation and personal care to up to thirteen people with learning disabilities. One of the three bungalows that make up the service provides respite care for up to five people. There were 7 people living at the service on the day of the inspection. There was a registered manager in place. 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 were kept safe and free from potential harm as staff knew how to keep them safe. Staff knew what they would do to protect a person from the risk of harm and how to report any concerns. People got the assistance from staff who ensured they were available to help them when needed. Staff had time to support people when required and ensured that people’s needs were met in a timely way. People’s medicines were looked after by staff who recorded when they had received them.
People’s care was provided by staff that had been trained to understand their needs and who were supported in their role. People’s decisions about their care and treatment had been recorded and staff showed they listened and responded to people’s choice.
People got to choose their meals and enjoyed the food. Support was provided where needed and alternative diets had been prepared to meet people’s nutritional needs. People were supported to access health and social care professionals with regular appointments when needed and were supported by staff to attend these appointments.
People were comfortable around the staff that supported them were happy to spend time with them. People’s individual care needs were known and respected by staff and their dignity and had been supported and maintained.
People got to enjoy the things they liked to do and chose how they spent their days in their home or time out and about on trips or activities. People were supported by staff who would raise comments or concerns and these were addressed. There were processes in place for handling and resolving complaints and guidance was available in alternative formats.
The registered manager was available, approachable and known by people and relatives. Staff also felt confident to raise any concerns of behalf of people. The provider ensured regular checks were completed to monitor the quality of the care delivered. The management team had kept their knowledge current and they led by example.