Archived: Care Management Group - 29 Bushey Hall Road

Updated 26 April 2018

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 comprehensive inspection took place on 18 December 2017 and 17 January 2018 and was unannounced on the first day. The inspection was undertaken by one inspector.

Before the inspection, we asked the provider to complete a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the information available to us about the service such as information from the local authority, information received about the service and notifications. A notification is information about important events which the provider is required to send us by law. We found that no recent concerns had been raised.

During the inspection we spoke with two relatives, three care workers, the deputy manager and the registered manager.

We used the Short Observation Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed the care records and associated risk assessments of two people who lived at the service, and also checked medicines administration records to ensure these were reflective of people’s current needs. We looked at two staff records and the training records for all the staff employed at the service to ensure that staff training was up to date. We also reviewed additional information on how the quality of the service was monitored and managed to drive future improvement.

Updated 26 April 2018

This inspection took place on 18 December 2017 and 17 January 2018 and was unannounced on the first day.

Care Management Group – 29 Bushey Hall Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Care Management Group – 29 Bushey Hall Road accommodates a maximum of 5 people in one adapted building. On the day of our inspection, there were four people living at the service.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.” Registering the Right Support CQC policy

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

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At this inspection we found the service remained Good.

The service has 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. On the first day of our inspection the registered manager was unavailable to participate in the inspection process because they were on annual leave. The deputy manager was however overseeing the service in their absence. We returned on the second day of inspection to meet with the registered manager and gain access to the records we had been unable to access on the first day.

Why the service is rated Good

People were safeguarded from the risk of harm. There were effective safeguarding procedures in place and staff had received safeguarding training.

Risks associated with people’s care and support had been identified and personalised risk

assessments were in place. The assessments gave clear guidance to staff on how individual risks to people could be minimised.

People received their medicines safely. There were effective systems in place for the safe storage and management of medicine and regular audits were completed.

There were sufficient numbers of staff deployed to meet people's needs. Safe recruitment practice were followed.

Staff received regular supervisions and appraisals and felt supported in their roles. An induction was completed by staff when they commenced work at the service followed by an ongoing programme of training. Staff were positive about the training they received.

Decisions made on behalf of people were in line with the principles of the Mental Capacity Act 2005 (MCA) and the associated Deprivation of Liberty Safeguards (DoLS). Consent was gained from people before any care or support was provided.

People appeared comfortable and relaxed in the presence of staff. Staff were positive about their work and the support provided. People were treated with dignity and respect.

People received care and support which was personalised. Care plans and risk assessments gave clear guidance to staff and had been regularly reviewed and updated.

There was an effective complaints procedure. Staff were responsive to people and were able to identify when people may be unhappy. Relatives were aware of the complaints procedure and knew who they could raise concerns with.

The service had an open culture and staff were positive about the support they received from the registered manager and colleagues. Team meetings were frequently held and staff members were actively involved.

Quality monitoring systems and processes were used effectively to drive improvements in the service and identify where action needed to be taken. A satisfaction survey had recently been commenced and feedback on the service was encouraged.

Further information is in the detailed findings below