Archived: Selborne Care Limited

Updated 2 December 2016

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 took place on 1 November 2016. The inspection was announced and was undertaken by one inspector. We gave 24 hours’ notice of the inspection as we needed to be sure that the relevant people would be available.

We reviewed the information we held about the service, including statutory notifications that the provider had sent us. A statutory notification is information about important events which the provider is required to send us by law.

During this inspection we spoke with the relatives of two people who used the service as the people using the service were not able to speak with us due to their complex care and support needs. We also looked at care records relating to the three people who used the service at the time of this inspection. We spoke with five members of staff, including two support workers, two care coordinators and the registered manager and spoke with two health professionals involved with the care of people using the service. We looked at five records in relation to staff recruitment and training, as well as records related to the quality monitoring of the service.

Updated 2 December 2016

Selborne Care Limited provides personal care for three people living in their own home. These people have complex conditions including having a learning disability and some mental health needs. People received support throughout the day and when they accessed their local community. These were large packages of care to support people within their own homes. Two people lived in flats at the location we inspected and another person lived in their own home away from where the service was run.

This announced inspection took place on 1 November 2016. This was the service’s first inspection since registration.

There was a registered manager in post at the time of our inspection. 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 provider’s values and vision was clear and focussed on providing care that was person centred and that would enable people to remain as independent as possible. All staff demonstrated a commitment to providing a service for people that met their individual needs. Staff described having positive relationships with the people they cared for and knew their needs, likes and preferences well.

There were formal systems in place to assess people’s capacity for decision making under the Mental Capacity Act 2005. Assessments were documented as required and best interest meetings held and recorded where applicable.

People received safe care and support. Staff understood their role in safeguarding people and they knew how to report concerns. The service had two staff vacancies, however, we found that there were enough staff to deliver the kind of care people needed. Work was being undertaken to further promote continuity of care people received. People's medication was managed safely and staff were recruited and checked to ensure they were safe to work with people who used the service.

Staff had a good understanding of people’s support needs and had the skills and knowledge to meet them. Staff received updates to their training and regular supervisions. Staff were clear about their roles and responsibilities in caring for people and described being well supported by the management.

Care records contained risk assessments and risk management plans to protect people from identified risks. They gave information for staff on the identified risk and informed staff on the measures required to minimise any risks. Staff were vigilant regarding people’s changing health needs and sought guidance from relevant healthcare professionals. People's nutritional risks were assessed and support was provided that met people's nutritional needs and preferences.

Staff and people's relatives were confident that if they had any concerns they would be listened to and any concerns would be addressed.

The provider monitored the quality and safety of the service and staff regularly monitored the support people received. The manager demonstrated a good understanding of how the service could be improved and had plans to enhance staff's training and skills to make that happen.