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Idelo Limited - 5 Courtenay Avenue Good

Reports


Inspection carried out on 7 August 2018

During a routine inspection

The inspection of Idelo Limited–5 Courtenay Avenue took place on 7 August 2018 and was unannounced.

Idelo Limited–5 Courtenay Avenue is a care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. Idelo Limited–5 Courtenay Avenue provides care and support for up to three people who have learning disabilities, some of whom live with mental health conditions. At the time of our inspection three people were using the service.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support (RRS) 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 has a registered manager. A registered manager is a person who has registered with the CQC 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 previous inspection on the 24 and 25 August 2017 we rated the service 'requires improvement' and identified one breach of legal requirement because people were not being protected from financial abuse. We also made a recommendation on improving and developing more effective quality monitoring and improvement processes. At this inspection we found sufficient action had been completed to address the shortfalls we found and improvements to the service had been made.

During this inspection we found there were no breaches of the regulations of the Health and Social Care Act (Regulated Activities) Regulations 2014, and we rated the service overall as Good.

All the people using the service told us that they were happy living in the home and satisfied with the care and support that they received from staff. People using the service told us that staff were kind and they felt safe. Staff engaged with people in a respectful and positive manner.

Arrangements were in place to manage people’s monies effectively and safely. Action had been taken to address the deficiencies we found during the last inspection to do with the management and handling of people’s monies. People using the service were protected and at minimal risk of financial abuse.

The provider had improved and developed the arrangements for monitoring and improving the quality of the service provided to people.

Staff knew people well. They had the skills and knowledge to provide people with the care and support that they needed. Staff received a range of training relevant to their roles and responsibilities. Arrangements had been put in place in place to ensure staff received the refresher training that they needed to remain competent in carrying out their duties in meeting the individual needs of people using the service.

Staff understood their obligations regarding the Mental Capacity Act 2005 (MCA). 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. Staff gained people's consent before providing them with assistance with personal care and other activities.

People's care plans were up to date and personalised. They included details about people’s individual needs and preferences and guidance for staff to follow so people received personalised care and support. Care plans about one person’s specific medical needs were developed following our inspection.

Staff knew people well and had a caring approach to their work and understood the importance of treating people with dignity, protecting people's privac

Inspection carried out on 24 August 2017

During a routine inspection

The unannounced inspection of Idelo Limited- 5 Courtenay Avenue took place on the 24 August 2017. We continued the inspection on the 25 August 2017 so we could complete checks of staff records. The manager was informed that we would be returning to the service on the 25 August to complete the inspection.

At our last inspection on 11 November 2015 the service met the regulations we inspected and was rated Good. At this inspection we found the service required improvement in some areas.

Idelo Limited-5 Courtenay Avenue is a residential care home for three people. The service provides care and support to people who have learning disabilities, autistic spectrum disorders and who may have additional mental health needs. At the time of the inspection there were three people using the service including one person receiving respite care. Public transport and local shops are within walking distance of the home.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission [CQC] 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.

People told us that they felt safe living in the home. There were procedures for safeguarding people and staff understood how to respond to possible abuse. They knew how to raise any concerns about people's safety so people were protected. But, the arrangements for recording, monitoring and the handling of people's monies did not ensure financial abuse could not take place.

People’s care plans were personalised and reflected people’s current needs. They contained the information staff needed to provide people with the care and support they wanted and required. But written guidance for staff to follow when responding to one person’s medical need was not available until after our visit.

Arrangements were in place to make sure people received the service they required from sufficient numbers of appropriately recruited and suitably trained staff. Staff received the support they needed to carry out their roles and responsibilities in providing people with the care and support that they needed.

Staff demonstrated a very caring attitude towards people who used the service and ensured their dignity and privacy was maintained. People were involved in planning their care and day to day activities, and the service was responsive in meeting people’s individual needs and preferences.

People's medicines were managed safely. Staff had received training in safe administration of medicines.

People's dietary needs and preferences were supported, and they were encouraged to choose what they wanted to eat and drink.

Staff understood their responsibilities in relation to the Mental Capacity Act 2005 [MCA]. 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.

People knew how to raise a complaint and were confident that staff would listen and be responsive to any concerns they raised.

Checks were carried out to monitor and improve the quality and safety of the service. But we found there were areas where improvements were needed, that had not been identified from the quality assurance arrangements.

We have made a recommendation about developing more effective quality assurance systems.

We found a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The provider’s management and handling of people’s monies was not meeting legal requirements You can see what action we told the provider to take at the back of the full version of the report.

Inspection carried out on 11 November 2015

During a routine inspection

This unannounced inspection of Idelo Limited - 5 Courtenay Avenue took place on the 11 November 2015. At our last inspection on 16 January 2014 the service met the regulations inspected.

Idelo Limited - 5 Courtenay Avenue is registered to provide accommodation and personal care for 3 adults. The home supports people with learning disabilities who may have additional mental health needs. The service is operated by Idelo Limited. On the day of our visit there were 2 people living in the home. Public transport and a range of shops are located within walking distance of the service.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission [CQC] 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. The registered manager was not on duty during the inspection but a manager of another of the provider’s services spent time in the home and provided us with the information we required.

The atmosphere of the home was relaxed and welcoming. People were treated with respect and staff engaged with people in a friendly and courteous manner. Throughout our visit we observed caring and supportive relationships between staff and people using the service.

People were encouraged and supported to make decisions for themselves whenever possible to maintain and develop their independence. People participated in a range of activities of their choice, and were supported to learn and develop a number of skills. People were provided with the support they needed to take part in and develop social interests, and maintain links with their family and friends.

Arrangements were in place to keep people safe. Staff understood how to safeguard the people they supported. People’s individual needs and risks were identified and managed as part of their plan of care and support. Care plans were personalised and reflected people’s current needs. They contained the information staff needed to provide people with the care and support they wanted and required.

People were supported to maintain good health and promote their well-being. They had good access to appropriate healthcare services that monitored their health and provided prompt support, treatment and advice when people were unwell. People were provided with a choice of food and drink which met their preferences and dietary needs.

Staff were appropriately recruited, trained and supported to provide people with individualised care and support. Staff told us they enjoyed working in the home and received the support they needed to carry out their roles and responsibilities.

Staff understood the legal requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). They knew about the systems in place for making decisions in people’s best interest when they were unable to make one or more decisions about their care and/or other aspects of their lives.

There was an open and inclusive culture within the home. People using the service and staff told us they felt able to communicate their views about the service and were confident that any concerns would be addressed by management staff. There were systems in place to regularly assess, monitor and improve the quality of the services provided for people.

Inspection carried out on 16 January 2014

During a routine inspection

We spoke with two people who used the service. They told us they were satisfied with the support they received. One person told us "I really like it here. The staff are nice, and they help me to go out and help me to do things". Another person said "The staff respect me and respect my privacy. If I didn't like it here I would move".

We found that the provider ensured consent was sought prior to support being provided, and that government guidelines were followed when people were unable to consent.

We saw that, generally, care and support provided met people's needs, and that people were provided with adequate food and drink. We found that people benefitted from the provider working cooperatively with other service providers.

People were supported by staff who were qualified, skilled and experienced, and we saw that records relating to the service and the people who use it were accurate and fit for purpose.

Inspection carried out on 22 February 2013

During an inspection to make sure that the improvements required had been made

We found people were being treated with respect and dignity and the need for privacy was understood and respected by staff. Staff in the home were also attending a dignity in care program and customer service training.

We found that care records had improved and people were receiving better standards of care. Care and treatment were planned and delivered in a way that was intended to ensure people's safety and welfare. The care plans and risk assessments had been updated to reflect people’s changing needs.

Inspection carried out on 24 November 2012

During a routine inspection

We spoke with two people who were living at the home and two members of staff. People told us they were involved in decisions about their care. People signed their care plans to give consent for their care and support and people's cultural and religious needs had been assessed and considered. However, we observed that people were not always shown respect when staff spoke with them.

Mostly, people's needs were assessed and an appropriate care plan developed. However, not all needs had been appropriately assessed so that care could be planned and delivered to meet them. For example, personal care and continence needs had not been fully assessed. People were supported to maintain and develop independent living skills and one person told us, "I take a long time to get ready but they (the staff) don't want me to lose my skills".

The environment was appropriately maintained and periodic checks were carried out to make sure the environment was safe for the people living there.

There were sufficient numbers of staff on duty to meet people's needs. There was a system in place for making complaints and people told us they felt able to raise concerns. The complaints procedure was not readily available in a suitable format for people to use.

Inspection carried out on 16 December 2011

During a routine inspection

People said that they were treated with respect and that they received the personal and medical care they needed. They were satisfied with the vocational and social activities they could do and they liked their meals. People said they felt safe. They were confident that any complaints would be acted upon and that they could have a say on improvements to their care and home.

People told us that staff listened to them. Comments from people about the staff included "the staff are nice", "they are good" and "they help me".

Reports under our old system of regulation (including those from before CQC was created)