Archived: London Borough of Greenwich - 69 Coleraine Road

Updated 9 June 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 comprehensive inspection took place on 28 March 2018 and was announced. We gave the service 48 hours’ notice of the inspection visit because it is small and the manager is often out of the office supporting staff or providing care. We needed to be sure that they would be in. One inspector inspected the service.

Before the inspection we looked at all the information we held about the service. This information included the statutory notifications that the service sent to the Care Quality Commission. A notification is information about important events that the service is required to send us by law. The provider had 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 contacted the local authority that commissioned services from the provider to seek their views.

During our inspection we spoke with three people, two staff and the registered manager. We looked at three care records and three staff files which contained their recruitment records. We also looked at records related to the management of the service such as policies and procedures, medicines records, accidents and incidents, health and safety records and minutes of various meetings. We also spent time observing the support people received.

Updated 9 June 2018

London Borough of Greenwich – 69 Coleraine Road provides care and support to people living in a ‘supported living’ setting, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support. At the time of the inspection the service was providing care and support to three people.

At our last inspection on 7 and 8 January 2016 we rated the service Good overall but required improvement in effective. At this inspection on 28 March 2018 the service is rated Good in all key question areas, therefore the overall rating of the service remained Good. The service demonstrated that they continued to improve and to meet the regulations and fundamental standards. The service had improved on the support they provided staff through regular supervisions and appraisals.

Staff knew of their responsibility to safeguards people in their care and told us they would report to their manager. Risks to people had been assessed, identified and had appropriate management plans in place. There were enough staff available to support people’s needs and the provider had safe recruitment practices in place. People were supported to take their medicines as prescribed by healthcare professionals. Staff followed appropriate infection control practices to prevent the spread of infection. There were effective systems in place to manage accidents and incidents and prevent them from happening again.

Before people used the service their needs were assessed to ensure they would be met. Staff were supported through induction, training, supervision and appraisals to deliver an effective service. People were supported to have adequate amounts of food and drink for their wellbeing. The Staff teams worked well within and outside the organisation and supported people to access healthcare services. 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 do support this practice.

People told us they were happy using the service. People and their relatives where appropriate were consulted about their care and support needs. People’s privacy and dignity were respected and their independence promoted. Staff understood the need to promote equality and diversity and support people without any discrimination.

Each person had a care and support plan in place which was available in formats that met their needs. People were supported with various activities that stimulated them. People told us they would report to staff or the registered manager if they were unhappy.

The provider had systems to monitor the quality of the service including, audits. People’s views were sought through surveys, residents meetings and staff meetings and the feedbacks were used to improve on the service delivery. Staff team worked well with health and social care professionals to deliver an effective service.