Background to this inspection
Updated
2 June 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.
The inspection took place on 14 March 2016 and it was unannounced. It was carried out by an inspector and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.
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 reviewed information we held about the service, including the previous inspection report and notifications they had sent us. A notification is information about important events which the provider is required to send to us.
During the inspection, we spoke with seven people who used the service, four care staff, the deputy manager, the registered manager and a visiting professional.
We reviewed the care records for six people who used the service. We checked how medicines and complaints were being managed. We looked at four staff files to review the provider’s staff recruitment and supervision processes, and we also saw the training records for all staff employed by the service. We looked at information on how the quality of the service was being monitored and managed, and we observed how care was being provided in communal areas of the home.
Updated
2 June 2016
We carried out an unannounced inspection on 14 March 2016.
The service provides care and support to people with a range of support needs, including chronic health conditions, physical disabilities, mental health needs, learning disabilities and those living with dementia. At the time of the inspection, 26 people were being supported by 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.
The provider had effective systems in place and staff had been trained on how to safeguard people. There were individual risk assessments that gave guidance to staff on how risks to people could be minimised. People’s medicines had been managed safely and administered in a timely manner.
The provider had effective recruitment processes in place and there was sufficient staff to support people safely. The manager and staff understood their roles and responsibilities in ensuring that people’s care was provided in accordance with the requirements of the Mental Capacity Act 2005 (MCA) and the associated Deprivation of Liberty Safeguards (DoLS). Staff had received effective training, support and supervision that enabled them to provide appropriate care to people who used the service.
People’s needs had been assessed and they had care plans that took account of their individual needs, preferences and choices. They were supported to have sufficient food and drinks, and had access to other health and social care services when required in order to maintain their health and wellbeing.
Staff were kind and caring towards people they supported. They treated people with respect and supported them to maintain their independence as much as possible. Some activities had been provided to occupy people within the home and people had been given opportunities to pursue their varied hobbies and interests outside of the home.
The provider had a formal process for handling complaints and they responded quickly to people’s concerns. They encouraged feedback from people and their relative, and acted on the comments received to improve the quality of the service provided.
The manager provided stable leadership and effective support to the staff. They worked closely with the deputy manager to ensure that the provider’s quality monitoring processes are used effectively to drive improvements.