Background to this inspection
Updated
23 July 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 was 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 11June 2015 and was unannounced. The inspection team consisted of one inspector. We looked at all the notifications we had received about the service since we last inspected on 19 June 2014 and reviewed any other information we held prior to our visit.
During our inspection we met two people using the service. All the people living at the service had complex needs and were unable to communicate verbally with us so we observed the way staff engaged with them. We spoke with the registered manager two care staff and two relatives. We reviewed two people’s care records. We reviewed records relating to the management of the service including medicines management, staff training, audits, quality assurance and health and safety records.
Updated
23 July 2015
This inspection took place on 11 June 2015 and was unannounced. At the last inspection on 19 June 2014 we found the service was not meeting the regulations relating to assessing and monitoring the quality of the service. At this inspection we found that improvements had been made in the required area.
21 Haymill Close is a care home which provides accommodation and personal care for up to four people with learning and physical disabilities. At the time of our visit there were three people using the service.
There was a registered manager 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.
There were safeguarding and whistleblowing procedures in place and staff understood what abuse was and knew the procedure to report it.
Risks were assessed and managed well, with care plans and risk assessments providing clear information and guidance for staff to follow.
People were given their prescribed medicines safely.
Staffing levels were sufficient to safely meet people’s needs.
People experienced care that was individualised and effective in meeting their needs. Staff were skilled, experienced and supported to maintain their skills and knowledge through regular training and supervision.
The provider met the requirements of the Mental Capacity Act (2005) and the Deprivation of Liberty Safeguards (DoLS) to help ensure people’s rights were protected.
People were supported to maintain good health and access health care services and professionals when they needed them.
People’s nutritional needs had been assessed and where appropriate people received the support they needed to eat and drink sufficient amounts.
People were happy and staff treated them with respect, dignity and compassion. Care and support was centred on people’s individual needs and wishes. Our observations confirmed people experienced care and treatment that protected and promoted their privacy and dignity. People’s relatives spoke highly of the staff team.
People using the service and their representatives were involved in planning and making decisions about the care and support they received.
Staff knew about people’s needs, preferences and aspirations and people using the service and relatives were involved in planning the care and support they received.
There were systems in place to deal with complaints.
People were encouraged to maintain relationships with the people that were important to them. People were supported to live an active life.
The manager was experienced and knew the service well. She demonstrated good leadership skills, was approachable, open and provided an inclusive and transparent culture at the service.
Systems were in place to regularly monitor the safety and quality of the service people received. This information was used to help them make changes and improvements where necessary.