Background to this inspection
Updated
9 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 13 December 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 three people’s relatives by telephone. We also spoke with the acting manager and four staff working in the service.
We looked at two people's care and medicines records. We looked at records relating to two 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
9 January 2018
1 Bradd Close 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 eight people in two co-joined bungalows. 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 our last inspection, the service was rated Good overall, with well-led being judged as Requires Improvement. This was because the registered manager was not being provided with support and quality assurance processes were not being implemented in line with the provider’s policies. At this inspection, while the registered manager was on extended leave, we found that improvements had been made. Actions were in place to support the acting manager and to carry out the provider’s quality monitoring procedures. At this inspection we found the service remained Good.
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. The deputy manager was acting as manager in leading the service.
Procedures were in place to protect people from harm and staff knew how to use them to keep people safe. Risk management plans were in place to support people and their safety. There were also processes in place to manage any risks in relation to the running of the service. Medicines were safely managed to ensure people received their prescribed medicines to meet their needs.
There were enough staff to keep people safe. Staff felt well trained and used their training effectively. People received the support they needed to eat and drink well and their health needs were well catered for with appropriate referrals made to external health professionals when needed. 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 supported this practice.
Staff were caring and respected people’s privacy, dignity and independence. People’s needs were assessed and they were supported in a person centred way. Care plans were detailed and people and those who mattered to them were included in developing these. Relatives felt welcome in the service. They also felt able to be express any concerns, that that they would be listened to and actions would be taken.
There was stable leadership in the service; people living and working in the service had the opportunity to say how they felt about the home and the service it provided. People knew the management team and staff told they found them to be approachable and available in the home.
Further information is in the detailed findings below.