Background to this inspection
Updated
18 September 2018
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.
This comprehensive inspection took place on 2 August and was announced. We gave the service three days’ notice of the inspection visit because the people living in the home could become unsettled by the presence of an unannounced visitor. This gave the provider an opportunity to plan our visit with the people using the service. The inspection was carried out by one inspector.
Before the inspection we reviewed the information we held about the service and the service provider. This included statutory notifications sent to us by the registered manager and the most recent provider information return form (PIR). Notifications are information about specific important events the service is legally required to send to us. A PIR is a document which provides information about the service such as what they do well and what improvements they plan to make.
We spoke with two people who used the service, two relatives, two care staff, the registered manager and the operations manager. We observed interactions between staff and people who used the service. During the inspection we reviewed three people’s care plans and daily records. We reviewed records relating to the management of the service, including policies and procedures. We looked at accident and incident reporting and quality assurance audits. Following the inspection four health and social care professionals responded to our request for feedback about the service.
Updated
18 September 2018
9 Roseland Avenue is a small care home, registered to provide accommodation and personal care (not nursing) for up to six people with learning disabilities. The house is a two-storey building with its own secure garden.
At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
At the last inspection on 29 June and 5 July 2017 we found a breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) 2014. This was because audits did not always identify shortfalls. Where shortfalls were identified, action was not taken to ensure fundamental standards were met. The provider wrote to us telling us of the actions they were taking to make improvements. At this inspection we found improvements had been made.
People were kept safe from the risk of harm and abuse. Staff were knowledgeable about the types of abuse and how to report it. Risks were identified and assessed and assessments reviewed regularly. There were sufficient numbers of staff deployed to meet people’s needs. Medicines were administered, stored and managed safely.
Staff were appropriately trained. Care plans were person centred and contained personalised information to support people’s needs. Staff worked together with health and social care professionals to deliver timely health care and promote well-being.
Staff and people had developed respectful and caring relationships. The person-centred ethos of care was shared throughout the staff group. There were quality assurance and audit processes in place, including requests for feedback from people and their relatives about the service.
Care was planned to reflect people’s preferences and abilities. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.
Further information is in the detailed findings below.