19 December 2019
During a routine inspection
16 Sylvan Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. 16 Sylvan Road accommodates 4 people in one adapted building. At the time of our inspection 4 people with mental health needs were living there.
People’s experience of using this service:
People were supported to have maximum choice and control of their lives and staff did support them in the least restrictive way possible and in their best interests; the policies and systems in the service did support this practice. There was an instance of consent documentation being completed incorrectly. Consent was implied in people's documentation.
We saw that some care records had been typed then written over by hand. We noted some audits were overdue and did not pick up on the error we found with respect to consent documentation. One audit which was overdue and therefore did not pick up a medicine recording omission we found. Quality assurance processes either did not identify or seek to remedy the issues we saw with decoration.
People’s needs were met with respect to building layout and design, however the service had not been decorated for some time.The provider told us they would seek people's input around this and agree a plan.
People told us they felt safe and there were safeguarding procedures to keep people safe from abuse. People were risk assessed to keep them safe from harm. There were sufficient staff at the service. Suitable staff were recruited to work with people. People’s medicines were managed safely.
People’s needs were assessed before moving into the service. Staff were trained how to do their jobs and were supervised in their roles. People were supported to access health care professionals. People were supported with their food and could choose what they wanted to eat.
People and relatives told us staff were caring. People and their relatives were involved with their care. People’s privacy was respected, and their independence promoted.
People’s care plans recorded their needs so staff knew how to best work with them. People were supported to attend activities they enjoyed. People’s communication needs were assessed, and staff knew how to communicate with them. People and relatives told us they knew how to make complaints, though there had been no recent complaints at the service. The service was not providing end of life care to people but staff had received training and people’s end of life wishes were recorded if they wanted.
People were happy with the management of the service. The registered manager was supported in their role by a deputy manager. The service had links with other agencies to the benefit of people using the service.
Please see the full report which is on the CQC website at www.cqc.org.uk.
Rating at last inspection
This service was previously rated ‘Good’ at inspection in July 2017.
Why we inspected
This was a planned inspection that was part of our inspection schedule.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.