Background to this inspection
Updated
21 April 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 was a comprehensive inspection: It took place on the 7 March 2018 and was unannounced.
The inspection was carried out by one inspector.
Before the inspection we looked at information we held about the service. This information included the Provider Information Return [PIR] which the registered manager had completed before the inspection. The PIR 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 reviewed the report from a quality check of the service that was carried out by the host local authority in 2017.
Some people using the service were able to tell us about what they thought about the service that they received. Others were less able to describe their experience, so to gain further understanding of people's experience of the service we observed engagement between people and staff and we also spoke with people’s relatives.
During the inspection we spoke with the provider, three care staff, a healthcare professional and the four people using the service. Following the inspection we spoke by telephone with three relatives of people using the service.
We also reviewed a variety of records which related to people's individual care and the running of the service. These records included care files of four people using the service, three staff records, audits, and policies and procedures that related to the management of the service.
Updated
21 April 2018
Santa Care is a care home for four people who have learning disabilities and/or mental health conditions. The care home provides people with accommodation and personal care. It is located in North West London within walking distance of local shops and public transport. The home has single occupancy bedrooms located over two floors and a communal lounge/dining room. The ground floor of the building is wheelchair accessible and people have access to a garden. There were four people using the service at the time of the inspection.
At our last inspection we rated the service good. At this inspection on the 7 March 2018 we found the service remained Good. Evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
This service does not require a registered manager as the regulated activity accommodation and personal care is carried on by an individual who is registered with us in their own name. The individual Santa Bapoo is in charge of day to day activity carried out by the service.
Arrangements were in place to keep people safe. Staff knew how to identify abuse and understood the safeguarding procedures they needed to follow to protect people from abuse.
Risks to people's health and well-being were identified, assessed and managed as part of their plan of care and support. Appropriate risk management systems were in place. Staff understood their responsibilities to deliver safe care and to report all concerns to do with people’s safety or poor practise.
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.
Arrangements were in place to ensure that people received their prescribed medicines. People’s dietary needs and preferences were understood and supported by the service.
People received personalised care and staff were responsive to people’s needs. People's care plans reflected people’s individual preferences and needs. They contained the information staff required to provide people with the care and support they needed in the way that they wanted. People were supported to be fully involved in decisions about their care.
Staff had a caring approach to their work and understood the importance of treating people with dignity and protecting people's privacy. People’s confidentiality was maintained.
People took part in a range of activities, and staff supported them to develop and maintain their daily living skills.
Staff received the training and support that they needed to provide people with individualised care and support. The provider ensured staff had the skills and knowledge to meet people's needs. Appropriate recruitment procedures were in place to ensure that only suitable staff were employed to provide care.
People and their relatives knew how to make a complaint and were confident their concerns would be addressed appropriately by the provider.
There were systems in place to assess, monitor and improve the quality of the services provided for people.
The provider worked closely with healthcare and social care agencies to ensure people’s needs were met and that improvements to the service and people’s care were made when needed.
We have made one recommendation about the use of CCTV in the home.
Further information is in the detailed findings below.