Background to this inspection
Updated
11 April 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 inspection took place on 22 January 2018 and was unannounced.
The inspection team consisted of one adult social care inspector and one adult social care inspection manager.
Before the inspection we reviewed the information we held about the service. This included notifications we had received. A notification is information about important events such as accidents or incidents, which the provider is required to send us by law. We also spoke with the local authority commissioning and safeguarding teams to ask them for their views on the service and whether they had any concerns. We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection we spoke with the registered manager, deputy manager, and two care staff. We reviewed two care records, medication administration, three staff files and other information relation to the service such as quality audit checks. After the inspection we contacted a health professional and two family members.
Updated
11 April 2018
The inspection was carried out on 22 January 2018 and was unannounced.
Station Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and we looked at both during this inspection. Station Road provides support to a maximum of six people in one adapted building.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
The service had a change of provider registration in November 2016. This was our first inspection of the new provider
The service had a registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the service is run.
We found the service was safe. Staff were trained in safeguarding people from abuse and put this training into practice. Staff had time to spend with people. We saw safeguarding procedures were in place and these were followed to help keep people safe.
People’s needs were assessed and care plans showed a commitment to person centred care; risks were assessed and managed in clear plans of care which were understood by staff. These were subject to regular review.
Medicines were managed safely and staff had good knowledge of the medicine systems and procedures in place to support this. The support people received with their medicines was person centred and responsive to their needs.
People were supported to access activities both within the home and in the wider community. This was person centred.
People's nutrition and hydration needs were well catered for. People received a range of food which met their individual needs. Nutritional risks were well managed by the service.
Staff were skilled and competent to meet the needs of people. Training was tailored to meet the needs of the residents. People were supported by kind, caring and compassionate staff. This meant people received good care.
The service was acting within the legal framework of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). Where people lacked capacity, best interest processes were followed. People were given choices and involved in decision making to the maximum extent possible.
The management promoted open discussions with staff about incidents, accidents and near misses. Investigations were thorough and comprehensive and lessons learned were reflected upon and communicated. This meant the likelihood of future similar incidents was reduced.
The service was clean and infection control measures were in place. People’s health care needs were met and people knew how to make a complaint. The manager had robust audits in place to monitor the risk and spread of infection. People thought the service was well managed.