The inspection took place on 3 February 2015 and was unannounced. Our last scheduled inspection at this service took place in November 2013 when no breaches of legal requirements were identified.
The Cornerstone is a care home without nursing. It provides care for up to eight people with learning disabilities or autistic spectrum disorders. The home is situated close to Rotherham town centre.
The service had a registered manager in post at the time of our 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.
At our inspection on 3 February 2015, we found a breach of Regulation 13 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010. You can see what action we told the provider to take at the back of the full version of this report.
The provider did not have appropriate arrangements in place to manage medicines. The provider’s medication policy and procedure did not include instruction for medication which was given as required or the safe management of controlled drugs. Therefore, some risks were not identified and there was no guidance on current best practice.
We spoke with staff who had a clear understanding of safeguarding adults and what action they would take if they suspected abuse. One care worker said, “I would report anything of this nature straight away, it would have to be sorted out.”
Care and support was planned and delivered in a way that ensured people were safe. The support plans we looked at included risk assessments which identified any risk associated with people’s care. We saw risk assessments had been devised to help minimise and monitor the risk.
We spoke with staff and people who used the service and we found there were enough staff with the right skills, knowledge and experience to meet people’s needs.
People were supported to have their assessed needs, preferences and choices met by staff who had the necessary skills and knowledge.
We found the service to be meeting the requirements of the mental Capacity Act and Deprivation of Liberty Safeguards (DoLS). The house manager had some knowledge of this and said they would contact the local council for further advice if needed.
People were supported to eat and drink sufficient to maintain a balanced diet. Meals were appropriately spaced throughout the day with snacks in-between. Meals were flexible to meet the needs of the people who used the service.
People were supported to maintain good health, have access to healthcare services and received ongoing healthcare support. We looked at people’s records and found they had received support from healthcare professionals when required.
People who used the service were supported to maintain friendships. Support plans contained information about their circle of friends and who was important to them.
We saw staff were aware of people’s needs and the best ways to support them, whilst maintaining their independence.
People’s needs were assessed and care and support was planned and delivered in line with their individual support plan. The support plans were person centred and some contained pictures to assist in the person understanding their plan. Support plans included healthcare, communication, personal hygiene, mobility and activities.
We saw that people had their own interests and hobbies and took part in several activities and events on a weekly basis.
The service had a complaints procedure and people knew how to raise concerns. The procedure was also available in an ‘easy read’ version.
Staff we spoke with felt the service was well led and the registered manager and house manager were open and transparent. Staff confirmed they knew their role within the organisation and the role of others. They knew what was expected of them and took accountability at their level.
Staff we spoke with felt the service was well led and the registered manager and house manager was open and transparent. They felt people were involved and that their opinion counted. One care worker said, “I can discuss anything with my manager and they will listen and offer support and guidance.”