9 November 2015
During a routine inspection
We inspected this service on 9 November 2015. This was an unannounced inspection. At the previous inspection in July 2013, we identified a breach of the Regulations. We told the provider that improvements were required in regard to the quality and accuracy of records. At this inspection we found some improvements had been made but further improvements were needed to ensure all records were completed in full to ensure people received safe, consistent and reliable care and treatment.
Living Independently Staffordshire - Brighton House Care Home provides short term care and support for 26 people who need enablement, assessment or respite care. At the time of this inspection 20 people used the service.
The service had 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.
Care and support plans did not offer a holistic view of people’s care and support needs. Staff demonstrated they had a good knowledge and understanding of people’s individual needs and the risk of harm as a result of poor record keeping was low.
Risks to people’s health and wellbeing were identified, recorded and managed. Staff understood how to keep people safe and they helped people to understand risks. Medicines were managed safely by staff who were skilled to administer medicines.
There were sufficient numbers of staff to meet people’s care and support needs. Staff received regular training and supervision that provided them with the knowledge and skills to meet people’s needs. Staff were only employed after all essential pre-employment safety checks had been satisfactorily completed.
Staff supported people to make decisions about their care by helping people to understand the information they needed to make informed decisions. Some people who used the service were unable to make certain decisions about their care. In these circumstances the legal requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) were being followed.
People told us they enjoyed the food, had plenty to eat and drink and had lots of choice. Where people needed support with eating, staff provided the level of support that each individual person required. Following assessment and as part of their enablement plan some people prepared their own meals.
People had access to and were supported by a team of health care professionals. People were treated with kindness, consideration and respect and staff promoted people’s independence and right to privacy.
People were aware of the complaints procedure and knew how and to whom they could raise their concerns.
People told us the registered manager and staff were supportive and helpful. Checks were made on a regular basis to ensure the quality and safety of the service.
The registered manager and provider regularly assessed and monitored the quality of care to ensure standards were met and maintained. The registered manager understood the requirements of their registration with us and reported significant events in accordance with their registration requirements.