You are here

Auckland House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 1 August 2019

About the service: Auckland House is a residential care home for people living with a learning disability, autistic spectrum disorder or mental health need. The service was a large home, bigger than most domestic style properties. It was registered to support up to eight people. Eight people were using the service at the time of the inspection. This service is larger than current best practice guidance. However, the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. There were no identifying signs, to indicate it was a care home. Staff did not wear anything that suggested they were care staff when coming and going with people.

People’s experience of using this service:

The outcomes for people did not fully reflect the principles and values of Registering the Right Support for the following reasons; people’s abilities, needs and mental capacity were not always assessed to ensure they had as much choice and control as possible. We have made a recommendation about the management of some medicines, reviewing current guidance and the application of the Mental Capacity Act (2005).

People told us they were safe at the service. Risk management required improvement to ensure risks to people had been identified and assessed. The Mental Capacity Act (2005) had not always been applied to decision making where appropriate.

Person centred care was promoted in the service and people experienced positive outcomes, however people’s support plans did not always reflect all their needs and goals to support the delivery of person centred care.

Quality assurance processes were in place but had not identified some of the concerns we found. The registered manager took prompt action to address these shortfalls and ensure actions for improvement were added to their action plan for the service.

There was a positive culture in the service and staff were supported through training, supervision and team meeting to provide effective care for people. People told us staff were kind and caring and were treated with dignity and respect.

Rating at last inspection: This service was rated Good at the last inspection and the report was published on 21 October 2016.

Why we inspected: This was a planned inspection based on previous rating.

Follow up: We will follow up on our recommendations at the next scheduled inspection. We will continue to monitor the service through the information we receive.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Requires improvement

Updated 1 August 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 1 August 2019

The service was not always effective

Details are in our Effective findings below.

Caring

Good

Updated 1 August 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 1 August 2019

The service was not always responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 1 August 2019

The service was not always well-led

Details are in our Well-Led findings below.