Background to this inspection
Updated
15 March 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was carried out by two inspectors.
Service and service type:
The service is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection. There were 21 people living in the service at the time of our inspection visit. The service had a manager registered with the Care Quality Commission. This means that they 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 was an unannounced inspection.
What we did:
We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about, such as abuse and we sought feedback from the local authority.
During the inspection we spoke with four members of staff, including the registered manager (who was also the registered provider), a supervisor, a senior and a care support worker (titled family friendly worker). We spoke with seven people who lived in the service, and looked at three people’s care records in detail. In addition, we looked at the medicines administration records (MARs), and further records relating to the running of the home.
Updated
15 March 2019
About the service: The service provided accommodation for up to 22 persons who require nursing or personal care, all of whom were living with learning difficulties.
People’s experience of using this service:
¿ Our last comprehensive inspection was carried out on 13 and 14 July 2017, and we found that systems to monitor the quality and safety of the care provided were not always effective, there were not always enough staff and people did not always receive person-centred care. This had resulted in three breaches of the Health and Social Care Act 2008 (Regulated Activities) 2014.
¿ Following the last inspection, the provider sent us an action plan outlining how they would make improvements to the service. At this inspection, we found that sufficient improvement had been made and there were no breaches.
¿ There were effective systems in place to monitor and improve the service.
¿ People received care according to their individual needs and preferences, and there was detailed guidance for staff in care plans.
¿ There were enough suitably qualified and competent staff to meet people’s needs.
¿ Risks to people were assessed and mitigated.
¿ Staff were knowledgeable about safeguarding people from abuse.
¿ People were supported to take their medicines safely, and had access to healthcare when they needed.
¿ Staff supported people to make choices around their diet.
¿ Staff asked people for consent and supported them to make decisions.
¿ Staff adapted communication to ensure people understood information and could communicate effectively, and people were involved in their care.
¿ People and staff had built positive trusting relationships, and staff respected people’s dignity and privacy.
¿ People were supported to make and achieve goals, maintaining and increasing their independence.
¿ There were trips and activities for people, and staff supported them to engage with the local community.
¿ Staff worked well as a team and were well-supported.
Rating at last inspection: Requires Improvement overall and in all areas (Published 29 November 2017).
Why we inspected: We inspected this service in line with our inspection schedule for services rated Requires Improvement.
Follow up: We will continue to monitor this service according to our inspection schedule.