Background to this inspection
Updated
21 October 2015
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 inspection took place on 20 September 2015 and was unannounced. The inspection was undertaken by one inspector. Prior to the inspection we looked at all information available to us.
This included looking at any notifications submitted by the service. Notifications are information about specific events that the provider is required to tell us about.
As part of our inspection we reviewed the care records for three people in the home and also looked at one staff member’s personal file to see how they were trained and supported. We spoke with the two people who were at home. We made observations of the care people received and spoke with one member of care staff who was on duty. Following the inspection we also spoke with the registered manager. We looked at other records relating to the running of the home which included audits, staff supervision and training records and meeting minutes.
Updated
21 October 2015
This inspection took place on 20 September 2015 and was unannounced. The last inspection took place on 16 April 2014 and no breaches of legal requirements were found at this time.
The home provides care and accommodation for up to four people with a learning disability. At the time of our inspection there were three people living in the home. There was a registered manager in place at the home. 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.
The service was safe in most aspects; however more needed to be done to ensure that the risks associated with infection control were minimised. A shower room was in need of deep cleaning and renovation. The area was dirty and the tiles were mouldy, as was the silicone filler. This posed a risk to people as this area could not be effectively cleaned.
People in the home were supported by safe numbers of staff who were able to meet their needs, and people’s rights were protected in line with the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards. People’s capacity was considered in decisions being made about their care and support and best interest decisions were made when necessary. Staffing levels were flexible to accommodate the needs of people and the activities they chose to do in their local community.
Support plans were representative of people’s current needs and gave detailed guidance for staff to follow. Staff understood people’s individual needs and preferences which meant that they received care in accordance with their wishes.
People were supported by staff who were kind and caring in their approach and were treated with dignity and respect. This was confirmed by the observations we made during our inspection.
Safe procedures and a policy was in place to guide staff to manage people’s medicines safely. Medicines that we checked matched the records that were kept.
The provider had ensured that staff had the knowledge and skills they needed to carry out their roles effectively. Training was provided and staff we spoke with were knowledgeable about people’s needs.
A detailed system was in place to monitoring the quality of the service that people received. This included a system to manage people’s complaints.