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Inspection Summary

Overall summary & rating


Updated 15 January 2016

This unannounced inspection of Gladstone Road took place on 28 October 2015.

Gladstone Road is situated in the residential area of Seaforth. The service is operated by Autism Initiatives and provides care and support for three people with a diagnosis of autism and learning disabilities. The home is located close to public transport links and leisure and shopping facilities.

There was a registered manager in post; however they were not present at the inspection. 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 relatives of the people who lived at the home and staff told us people were safe. There were systems and processes in place to protect people from the risk of harm. These included thorough staff recruitment, staff training and systems for protecting people against the risks of abuse.

Relatives told us staff were respectful towards them and their family members and we observed that staff were caring and supportive to people throughout our inspection.

We observed there were enough suitably trained staff to meet people’s individual care needs. We saw that staff spent time with people and provided assistance to people who needed it. Staff were available to support people to go on trips or visits within the local and wider community.

Staff understood the need for them to respect people’s choice and decisions. Assessments had been made and reviewed regarding people’s individual capacity to make specific care decisions. Where people did not have capacity, decisions were taken in ‘their best interest’ with the involvement of family members where appropriate and relevant health care professionals. This showed the provider was adhering to the Mental Capacity Act 2005. This is legislation to protect and empower people who may not be able to make their own decisions.

The provider was meeting their requirements set out in the Deprivation of Liberty Safeguards (DoLS). DoLS is part of the Mental Capacity Act (2005) and aims to ensure people in care homes and hospitals are looked after in a way that does not inappropriately restrict their freedom unless it is in their best interests. At the time of this inspection, there were two applications which had been authorised under DoLS for people’s freedoms and liberties to be restricted. We checked records as saw the process had been carried out effectively.

People’s health and social care needs had been appropriately assessed. Care plans provided detailed information for staff to help them provide the individual care people required. Identified risks associated with people’s care had been assessed and plans were in place to minimise the potential risks to people. There was a procedure in place for managing medicines safely.

There were effective systems in place to monitor and improve the quality of service through feedback from people who used the service and their families, staff meetings and a programme of audits and checks.

Inspection areas



Updated 15 January 2016

The service was safe

People’s relatives told us that they were safe.

Staff had been recruited properly. There were satisfactory checks undertaken to help ensure staff were fit to work with vulnerable people.

Sufficient staff were on duty for safe care to be carried out.

Medication was administered and stored correctly.

Risk assessments were in place to support people to remain safe.

Appropriate safeguarding procedures were in place and staff were aware of their application.



Updated 15 January 2016

The service was effective

Staff were properly inducted and receive on-going training and they were supervised and appraised regularly.

Staff understood and applied the Mental Capacity Act 2005 and the Deprivation of Liberties Safeguards and had made appropriate referrals.

The premises were large and well-appointed and suited the people living there.



Updated 15 January 2016

The service was caring.

Staff were caring and approachable but remained professional throughout all interactions with the people living at the service.

People were able to laugh and joke with staff and they appeared very at ease with them. People's privacy and dignity were respected and every effort was made by staff to ensure that people were as independent as possible.

Staff took it upon themselves to ensure the people who lived at Gladstone Road engaged in activities which were meaningful to them.



Updated 15 January 2016

The service was responsive.

People were happy with their care and family members we spoke with had no complaints about the service they received.

There were systems in place to make sure changes in people’s care needs were managed and responded to, including regular care plan reviews with people’s involvement.

Staff were aware of people’s individual health needs and supported people appropriately.



Updated 15 January 2016

The service was well led.

There was a registered manager in post. There was a clear management structure in place to support the service. The home was homely, and the culture of the organisation was supportive.

Documentation was good, readable and up-to-date. The quality of the service was regularly checked and action plans put in place to rectify any issues found