Background to this inspection
Updated
5 January 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 inspection was undertaken by one inspector on 20 November 2017 and was unannounced.
Before the inspection, 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. We also looked at information that we had received about the service. This included information we received from the local authority and any notifications from the provider. Statutory notifications include information about important events which the provider is required to send us by law.
During the inspection process, we spoke with two people and a relative. We also spoke with the registered manager, the provider’s representative and two staff working in the service.
We looked at two people's care and medicines records. We looked at records relating to three staff. We also looked at the provider’s arrangements for supporting staff, managing complaints and monitoring and assessing the quality of the services provided at the home.
Updated
5 January 2018
97 Luncies 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.
The care home accommodates five people in an ordinary family style residential property. The care service was 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.
At the last inspection, the service was rated Good overall, with Responsive being judged as requires improvement. This was because there were not always enough staff hours allocated to enable people to participate in their social activities. Evidence was made available by the provider during this inspection that this had been actioned. The service remains Good at this inspection.
A registered manager was in post. 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.
Procedures were in place to protect people from harm and staff knew how to use them to keep people safe. There were processes in place to manage risks in relation to the running of the service, prevention of infection and the recruitment of staff. Medicines were safely managed in line with current guidance to ensure people received their prescribed medicines to meet their needs.
Staff felt well inducted and trained and used their training effectively. People were helped 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 underpinned this practice.
People’s needs were assessed and they had support to access healthcare professionals and services. People were encouraged to eat well and choose healthier food options to maintain their health and well-being.
Staff were caring and respected people’s privacy, dignity and independence. People were supported in a person centred way. Care plans were detailed and people were included in developing these. People were supported to express any concerns and information about making complaints was available in easy read format.
People living and working in the service had the opportunity to say how they felt about the home and the service it provided. Their views were listened to and actions were taken in response.
There was stable leadership in the service. People knew the registered manager and staff us told they found them to be approachable and available in the home. Systems were in place to check on the quality and safety of the service provided and make improvements where these were needed.
Further information is in the detailed findings below.