30 October 2015
During a routine inspection
This inspection took place on 30 October 2015 and was unannounced.
Alcazar Court is a supported living service. The service consists of 45 flats and people are given varying levels of support with personal care dependent on their needs.
The service does not have a registered manager. 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 acting manager has applied to the Care Quality Commission to be the registered manager for the service.
Our previous inspection on 17 July 2014 found that the service did not meet the standard relating to consent, because the registered manager hadn't considered issues of unlawful deprivation of liberty that might arise when confining equipment is used to keep people safe. The provider wrote to us and told us that they would introduce an assessment toolkit that would highlight the risks from confining equipment to people who used the service. At this inspection we found that the service had carried out and appropriate assessment and where necessary referred to the Local Authority so that they met requirements of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards.
Staff understood people’s rights to make choices about their care and the requirements of the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards.
We found a breach of regulation at this inspection. People may be at risk as there had been no assessment and care planning to support them to manage their medicines themselves.
There was an accessible complaints policy which the acting manager followed when complaints were made to ensure they were investigated and responded to appropriately.
Staff were deployed in sufficient numbers to meet people's needs. Staff knew how to keep people safe. Staff knew how to identify abuse and the correct procedures to follow if they suspected that abuse had occurred.
People were kept safe from the risk of abuse. Risks to people were identified and staff took action to reduce those risks. People were provided with a choice of food.
Care was planned and delivered in ways that enhanced people’s safety and welfare according to their needs and preferences. Staff understood people’s preferences, likes and dislikes regarding their care and support needs.
People were treated with dignity and respect. People using the service, relatives and staff said the acting manager was approachable and supportive.
At this inspection we found one breach of regulations in relation to the management of medicines. You can see what action we told the provider to take at the back of the full version of the report.