Background to this inspection
Updated
27 April 2019
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: The inspection was carried out by one adult social care inspector and a specialist professional advisor, whose specialism was in mental health services.
Service and service type: St Anne’s Lees Hall Road is a residential care home. People in residential care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.’
Notice of inspection: The inspection was unannounced.
What we did:
Prior to our inspection we reviewed all the information we held about the service. This included information from notifications received from the registered provider, feedback from the local authority safeguarding team and commissioners. We reviewed all the information we had been provided with from third parties to fully inform our approach to inspecting this service.
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 the service does well and improvements they plan to make. This information was used to help inform our inspection.
During the inspection we spoke with two people using the service. We spoke the with the registered manager, the deputy manager and two support workers. We reviewed a range of records. These included two people's care records and two medication records. We also looked at three staff recruitment files and records relating to staff training and supervision. We reviewed records relating to the management of the home.
Updated
27 April 2019
About the service: St Anne’s Lees Hall Road is a residential care home for up to seven people with long term mental health needs. Support is provided 24 hours a day. The home has five bedrooms with shared facilities and two bedrooms with kitchen/living room and their own bathrooms. The home is located close to local shops and is a short distance from the centre of Dewsbury. Seven people were living at the home on the day of our inspection.
People’s experience of using this service:
There were enough staff to meet people's needs and keep them safe. Staff understood how to manage any risks to people and knew the processes to follow to manage any allegations of abuse.
Risks to people had been identified and a positive risk approach was used to ensure the potential for harm was minimised without restricting a person’s human rights. People had been involved with decisions in how to reduce the risk of harm to them, although some chose not to engage and partook in activities which posed some risk to their health.
People were supported by staff who received appropriate training and support to carry out their roles and responsibilities. We found staff to be knowledgeable about people, their medicines and how best to support them. Staff in turn told us they felt supported by the registered manager.
People received support to eat and drink if this was part of their care plan and were responsible for making most of their own meals with varying degree of support from support staff. Staff knew how to access relevant healthcare professionals, and this was evidenced in people’s care records. The service worked in partnership with other organisations and healthcare professionals to improve people's outcomes.
People's care and support had been planned in partnership with them where possible, either formally at review or informally through conversations. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
Staff knew people well and supported them in line with their current needs and wishes. Staff were knowledgeable about people's likes, dislikes and personal preferences.
People and relatives were aware of the complaints procedure although they had not needed to use this. Information was present on notice boards in the building to direct people to the complaints process.
The service was well-led by a registered manager with support from a deputy manager. Staff took on responsibility for aspects of service improvement such as health and safety to ensure continuous monitoring and improvement of the service.
The provider and registered manager used a variety of methods to assess and monitor the quality of the service. We saw detailed provider audits, measuring the service against best practice to ensure a good standard of care provision.
The service worked in partnership with other organisations such as the local authority and health professionals.
Rating at last inspection: Good (report published 06 October 2016)
Why we inspected: This was a planned inspection to check this service remained Good.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk