Background to this inspection
Updated
5 December 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection team consisted of two inspectors.
Service and service type
Richardson Partnership for Care 144 Boughton Green Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We looked to see if statutory notifications had been sent by the provider. A statutory notification contains information about important events which the provider is required to send to us by law. We sought feedback from the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service about their experience of the care provided. We were shown around the communal areas of the home and by invitation also looked at two people's bedrooms. We spoke with four members of staff, including the service manager, registered manager and senior care workers. We reviewed three people’s care records, including assessments, care plans and daily recordings. We also looked at the medication administration records (MARs) for four people. We reviewed a variety of records relating to the management of the service; including staff recruitment, accident and incidents, training, complaints, safeguarding and quality assurance audits.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
5 December 2019
About the service
Richardson Partnership for Care 144 Boughton Green Road is residential care home providing personal care and support for younger adults with acquired brain injury. The service is registered to support up to 15 people, and at the time of inspection 13 people were living at the service. The accommodation is a converted residential property, adapted with facilities to support people with disability.
People’s experience of using this service and what we found
The providers systems and processes in place for oversight of the service were not carried out consistently or robustly enough to monitor or improve quality of the service. These had not identified the issues we found during the inspection related to care plans and medicine management.
Staff had awareness how to effectively support people to make decisions about their care. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way and in their best interests; however, the systems in the service did not always support this practice. The provider had not evidenced Best Interest meetings had taken place where people did not have capacity to make decisions about their care or treatment. This had been identified prior to our inspection and the service manager told us actions were being undertaken to improve this.
Staff had a good knowledge and understanding of the needs for people they cared for. However, systems in place were not effective in ensuring the information in care records were consistent or updated in line with the current care being provided.
People were safe and staff knew how to keep them safe from harm. Staff were appropriately recruited and there were enough staff to provide care and support to meet people’s needs.
People were supported by staff that had received an appropriate induction and training to enable them to fulfil their role. Staff told us additional training was also provided as required to meet specific needs of people using the service, and to encourage staff to develop and progress themselves within the company. Staff felt supported by the management team and received regular supervisions and appraisals.
Staff demonstrated a person-centred approach. People were cared for by staff that were kind, caring and treated them with privacy, respect and dignity.
Staff promoted social inclusion, equality and diversity for people using the service. People were supported to maintain relationships important to them and had support to access to the wider community.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (report published 28 April 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Enforcement
We have identified a breach in relation to good governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality within the service. 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.