Archived: Care Management Group - 53 Rutland Gardens

Updated 23 March 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection checked 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 home and to provide a rating for the home under the Care Act 2014.

The inspection was carried out on 19 January 2016 and was unannounced. It was carried out by an inspector and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of service.

Before the inspection the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what they do well and improvements they plan to make. It included information about notifications. Notifications are changes, events or incidents that the home must inform us about. We contacted selected stakeholders including four health and social care professionals, the local authority and the local GP surgery to obtain their views about the care provided. They were happy for us to quote them in our report.

During the inspection we spent time with people who lived at the service. We focused on gaining the views of people, and spoke with all the people who lived at Care Management Group - 53 Rutland Gardens. We spoke with three relatives of people. We spoke with the registered manager and two support workers.

We observed the support people received. We spent time in the kitchen, lounge and dining area and people’s own rooms when we were invited to do so. We took time to observe how people and staff interacted.

We looked at two sets of personal records. They included individual support plans, risk assessments and health records. We examined other records including two staff files, quality monitoring, records of medicine administration and documents relating to the maintenance of the environment.

The last inspection was carried out on 13 January 2014 and no concerns were identified.

Updated 23 March 2016

The Care Management Group - 53 Rutland Gardens is registered to provide accommodation and personal care for up to six adults with a learning disability. Some people lived with autism, physical care needs and some used alternative forms of verbal and non-verbal communication to express their views.

This inspection took place on 19 January 2016 and was unannounced.

We last inspected Care Management Group - 53 Rutland Gardens on 13 January 2014 and we found no concerns.

The service had a registered manager. 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.

Feedback received from people, relatives and visiting professionals throughout the inspection process was positive about the care and support, the approach of the staff and atmosphere in the service. Staff supported people to maintain and build on their independence. They showed respect and maintained people’s dignity. People had access to health care professionals when they needed it. One person said, “I feel very safe here, due to the staff always being around to support me with any general problem I may have.”

People told us they felt at home at Care Management Group - 53 Rutland Gardens. Visitors were warmly welcomed and people were supported to maintain their own friendships and relationships.

Staff had a clear understanding of the procedures in place to safeguard people from abuse.

Medicines were stored, administered and disposed of safely by staff who were suitably trained.

Recruitment records showed there were systems in place to ensure staff were suitable to work at the service.

The registered manager understood the Mental Capacity Act and worked with the local authority to assess people’s mental capacity and to make decisions about their support.

Systems for effective management were been established in all areas. For example, records were up to date and completed in a consistent way.

Staff were provided with an induction and training programme which supported them to meet the needs of people. One member of staff said, “It was the most thorough induction training I have ever had. There were sixteen learning modules and I had to pass each one. It really made me think about the job and my role.”

There was a variety of activity and opportunity for interaction that championed people’s preferences and choice. We saw that people had a range of commitments during the week, from attending adult education courses, to helping out at a lunch club and rehearsing in a band. For others, who liked to spend more time in their bedroom and in the communal areas, staff supported them in their choices.

People liked the food provided and were involved in the planning of menus. One person said, “The foods not too bad here actually. I help out with the cooking a lot, to help me with my independence in the future”.

People and their relatives were given information on how to make a complaint. Feedback from people was asked for and responded to.

There was an open culture at the service and this was promoted by a respected a visible, respected and popular registered manager. One person said, “We all love the manager. She gets on well with everyone here.”