Archived: United Response - 15 Osborne Road

Updated 5 May 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 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 service, and to provide a rating for the service under the Care Act 2014.

This inspection visit took place on 16 March 2017 and was unannounced.

The inspection team consisted of an adult social care inspector.

Before our inspection on 16 March 2017 we reviewed the information we held on the service. This included notifications we had received from the provider, about incidents that affect the health, safety and welfare of people the service supported. We checked to see if any information concerning the care and welfare of people who were supported had been received.

We reviewed the Provider Information Record (PIR) we received prior to our inspection. 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 provided us with information and numerical data about the operation of the service. We used this information as part of the evidence for the inspection. This guided us to what areas we would focus on as part of our inspection.

Most people who lived at 15 Osborne Road had limited verbal communication and were unable to converse with us. We spoke with or observed staff interactions with all three people who lived at the home. We also spoke with one relative, a health professional, the registered manager, and five staff members. Prior to our inspection visit we contacted the commissioning department at the local authority and Healthwatch Lancashire. This helped us to gain a balanced overview of what people experienced accessing the service.

During our inspection we used a method called Short Observational Framework for Inspection (SOFI). This involved observing staff interactions with the people in their care. SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

We looked at care and support records of two people, the services training and recruitment and supervision records of three staff members, arrangements for meal provision, records relating to the management of the home and the medicines records of four people. We reviewed the services recruitment procedures and checked staffing levels. We also looked around the building to ensure it was clean, hygienic and a safe place for people to live.

Updated 5 May 2017

This inspection visit took place on 16 March 2017 and was unannounced.

United Response - 15 Osborne Rd is a small care home registered to provide care and accommodation for up to three people. The home is a detached house located close to St Anne’s town centre and a variety of local services and amenities. Each person has their own bedroom and shares communal facilities. At the time of our inspection three people lived at 15 Osborne Rd. They had lived together for several years.

At the last comprehensive inspection on 20th November 2014 the service was rated overall as good. At this inspection we found the service remained good.

There were procedures in place to protect people from abuse and unsafe care. We saw risk assessments were in place which provided guidance for staff. This minimised risks to people.

Although people had limited verbal communication we were able to speak with two people who lived at the home or their relatives. They told us they felt safe with staff, and liked the staff who supported them. One person said, "Yes I am safe here." They said staff were friendly and respectful.

Staff supported people with medicines safely. Medicines were stored securely, administered as prescribed and disposed of appropriately.

There were sufficient staff available to provide personal care and individual social and leisure activities. They received training to carry out their role and were knowledgeable how to support and care for people. They had the skills, knowledge and experience to provide safe and effective support.

Staff understood the requirements of the Mental Capacity Act (2005) and the Deprivation of Liberty Safeguards (DoLS).

People told us they were happy with the variety and choice of meals available to them.

Care plans were personalised detailing how people wished to be supported. People who received support or where appropriate their relatives were involved in making decisions about their care. Their consent and agreement were sought before providing care.

People who used the service or their relatives knew how to raise a concern or to make a complaint. The complaints procedure was available and people said they were encouraged to raise any concerns.

Senior staff monitored the support staff provided to people. They checked staff arrived on time and supported people in the way people wanted. Audits of care and support records and risk assessments were carried out regularly. People and their relatives were encouraged to complete surveys about the quality of their care.