Background to this inspection
Updated
17 February 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 17 and 18 December 2015 and was announced. The provider was given 48 hours’ notice because the service was a small respite service for younger adults who are often out during the day; we needed to be sure that someone would be in. The inspection was undertaken by one inspector and an expert by experience.
Whilst planning our inspection we looked at the information we held about the service. This included, the previous inspection report, notifications received from the provider about deaths, accidents/incidents and safeguarding alerts which they are required to send us by law. We asked the provider to complete a Provider Information Return (PIR) and reviewed the information. 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.
During our inspection we spoke with three people that were using the service, the registered manager and two support staff. We looked at one person’s care record to check aspect of their care. We looked at the medicine management processes, two staff recruitment records and records maintained by the provider about the quality and safety of the service. We contacted the mental health trust who purchased the care on behalf of people and health care professionals involved in supporting people, to see if they had any comment about the service.
Updated
17 February 2016
This was an announced inspection which took place on 17 and 18 December 2015. The inspection was undertaken by one inspector and an expert by experience.
At our last inspection 9 June 2014, we identified that the provider was not keeping us informed of incidents that they were required to inform us of. During this inspection we saw that the provider had rectified this and was now complying with the regulations.
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.
66 Stirling Road provides accommodation and crisis care for up to six adults with mental health conditions. People using the service continue to be supported by community mental health teams.
Systems were in place to monitor the quality of the service people received. However, improvements were needed to ensure a consistently well-led service.
Procedures were in place to reduce the risk of harm to people and staff knew how to support people to keep safe.
Risks to people’s care were managed, with discussions and agreement from people using the service.
Sufficient staff were employed and suitably recruited to provide care and support to people and ensure their needs were met.
People received their medicines as prescribed and safe systems were in place to manage people’s medicines. Procedures were in place for foreseeable emergencies and staff knew the procedures. The environment and equipment used for people’s care were safely maintained. People’s privacy and dignity was respected.
People received a service from staff that were supervised , although staff training was not up to date, the provider had plans in place to rectify this.
People had control over what they ate and drank, with support from staff if necessary. People had access to mental health professionals and were supported to maintain their physical heath.
Staff supported people in a caring way and respected people’s privacy and dignity. People were free to pursue their individual social activities, with family and friends as they wished.
Most people knew how to raise concerns if they needed to and systems were in place to investigate and respond to any concerns raised.