Background to this inspection
Updated
18 October 2019
Background to this inspection
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team: The inspection team consisted of one inspector.
Service and service type:
Support for Living Limited - 79 Harrow View is a 'care home'. People in care homes receive accommodation or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
The home did not have a manager registered with the Care Quality Commission. The company was in the process of recruiting a new manager. The registered manager and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
Before the inspection
We reviewed information we held about the service. This included details about incidents the provider must notify us about, such as allegations of abuse, and accident and incidents. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with six people who used the service. We also spoke with the service manager, the acting manager and four care workers. We reviewed a variety of records which related to people's care and the running of the service. These records included care files of four people using the service, five staff employment records, policies and procedures, maintenance and quality monitoring records.
After the inspection
We received feedback from three care professionals.
Updated
18 October 2019
About the service
Support for Living Limited - 79 Harrow View is a care home registered for a maximum of nine adults who have mental healthcare needs. The home is a three storey, detached house with a small car park at the front and a garden at the back. The home is close to shops and transport links. At the time of our visit, there were eight people living in the home.
People’s experience of using this service
People told us they were satisfied with the care provided. They stated that staff treated them with respect and dignity and they felt safe in the home. We observed that staff interacted well with people and were caring and attentive towards them. Staff made effort to ensure that people's individual needs and preferences were responded to.
Risk assessments had been documented. Risks to people’s health and wellbeing had been assessed. There was guidance for staff on how to minimise risks to people.
Staff had received training on how to safeguard people and were aware of the procedure to follow if they suspected that people were subject to abuse.
People received their prescribed medicines. Staff had received medicines administration training and knew how to administer medicines safely.
Staff had been carefully recruited and essential pre-employment checks had been carried out. The home had adequate staffing levels and staff were able to attend to people’s needs.
People were satisfied with their accommodation. The premises were clean and tidy. There was a record of essential maintenance carried out. Fire safety arrangements were in place.
Staff supported people to have a healthy and nutritious diet that was in line with their individual dietary needs and preferences.
The healthcare needs of people had been assessed. People could access the services of healthcare professionals when needed.
Staff had received training and had knowledge and skills to support people. The acting manager provided staff with regular supervision and a yearly appraisal of their performance.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. The policies and systems in the services supported this practice.
People’s care needs had been assessed prior to them coming to the home and staff were knowledgeable regarding these needs. The service provided people with person-centred care and support that met their individual needs and choices.
The service was committed to encouraging people to be as independent as possible and finding innovative and creative ways to care and support people. We noted that there were examples of good practice where people had made improvements in their mental state and quality of life.
Staff supported people to participate in various activities within the home and in the community. They were provided with social and therapeutic stimulation.
There was a complaints procedure and people knew how to complain. Complaints recorded had been promptly responded to.
The service was well managed. Morale among staff was good. People said that management listened to them. Management monitored the quality of the services
provided via regular audits and checks. The results of the previous satisfaction survey indicated that people were satisfied with the care and services provided.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection: The last rating for this service was Good (published 11 April 2017).
Why we inspected: This was a planned inspection based on the previous rating.
Follow up: We will continue to monitor the service through the information we receive.