Background to this inspection
Updated
4 August 2017
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.
Before our inspection we reviewed the information we held about the service which included statutory notifications we had received in the last 12 months and the Provider Information Return (PIR). The PIR is a form we asked the provider to complete prior to our visit which gives us some key information about the service, including what the service does well, what they could do better and improvements they plan to make.
One inspector undertook the inspection which took place on 14 and 16 June 2017 and was unannounced.
During our inspection we spoke with the regional manager, the registered manager and four staff members. We met all the people who used the service and we conducted observations throughout the inspection as some people were unable to speak with us. We looked at three people’s care records, three staff files and other documents which related to the management of the service, such as medicine records, training records and policies and procedures. After the inspection we spoke with two relatives of people using the service and one healthcare professional.
Updated
4 August 2017
Our inspection took place on 14 and 16 June 2017 and was unannounced.
Care Management Group – 72 Croydon Road is a residential care service that offers housing and personal support for up to six adults who have a varying range of needs including learning disabilities. At the time of our inspection six people were using the service. At our last inspection in April 2015 we found that the service was overall good and rated good for the five key questions of safe, effective, caring, responsive and well-led.
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.
Staff helped to make sure people were safe at Care Management Group – 72 Croydon Road and in the community by looking at the risks they may face and by taking steps to reduce those risks while still encouraging people’s independence.
Staffing levels were adequate to keep people safe and an ongoing recruitment program was in place. The registered manager used the same bank and agency staff where possible to keep continuity in the care people received.
Staff competency was assessed when giving people’s medicines. Any medicine errors identified were dealt with quickly and appropriately to keep people safe. Medicines were stored safely, and people received their medicines as prescribed.
Staff felt they had enough training to do their jobs well and records confirmed an ongoing, monitored training program was in place.
People were offered choices and supported to feel involved. Many people at the service were unable to verbally communicate. Staff were working with healthcare professionals to improve the way they communicated with people and were looking at different ways of involving people in the care and support they received. People were observed to be relaxed and comfortable in the company of staff. Staff supported people in a way which was kind, caring, and respectful.
Staff helped people to keep healthy and well and, they supported people to attend appointments with GP’s and other healthcare professionals when they needed to. People were involved in their food and drink choices and meals were prepared taking account of people’s health, cultural and religious needs.
Care records focused on people as individuals and gave clear information to people and staff. People were appropriately supported by staff to make decisions about their care and support needs. These were reviewed with them regularly by staff. Staff encouraged people to follow their own activities and interests.
Relatives told us they felt comfortable raising any concerns they had with staff and knew how to make a complaint if needed.
The provider regularly sought people’s and staff’s views about how the care and support they received could be improved. There were systems in place to monitor the safety and quality of the service that people experienced.