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Archived: Southside Partnership - 227 Norwood Road Good

Inspection Summary


Overall summary & rating

Good

Updated 17 June 2016

This inspection was carried out on 12 May 2016 and was unannounced. 227 Norwood Road provides accommodation and support for up to five adults with mental health needs. The service assists people to develop their independence and daily living skills. At the time of our inspection five people were using the service.

At our previous inspection, on 23 January 2015 the service had not met all the regulations we inspected. We found breaches which relate to premises and equipment and the registered manager conditions. We issued two requirement notices for these breaches.

At the inspection on 29 July 2015, we followed up on the outstanding breaches of the regulations. We found that action had been taken to address the breach regarding the premises and equipment. However, the provider had not made sufficient improvements in relation to the registered manager conditions.

At this inspection, we found that actions had been taken by the provider to address the breach related to the registered manager conditions. At the time of inspection, the service had a registered manager in post. The registered manager was also managing other services for the provider. 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. The service had a deputy manager who was responsible for managing the day-to-day running of the service.

Staff recognised signs of potential abuse to people and supported them to stay safe from harm. People’s individual risk assessments were in place and addressed the support required for people in crisis. There were enough staff at the service to support people in their home and in the community. Staff assessed people’s ability to manage their own medicines and supported them to understand what medicines they were taking.

Staff were knowledgeable about the support people required with their care needs. They received regular supervision and appraisal, which provided them with opportunities to discuss their professional goals and develop in their role. Staff had support with their training needs and attended refresher courses as required.

We found that the staff team had limited understanding about the Mental Capacity Act (MCA) 2005 principles as they had not attended the MCA training. We recommended the service to seek advice and guidance from a reputable source, in relation to the requirements of the MCA training for social care staff.

People had a signed agreement with the provider consenting to some restrictions at the service. Staff monitored people’s food intake to ensure that their nutritional needs were being met. People had access to health professionals and staff reminded them about the medical appointments they needed to attend.

People told us that staff were kind and respectful. People had good relationships with staff that attended to their needs with care. Staff respected people’s privacy and asked them when they wanted to be supported. The service supported people to increase their social contacts and develop relationships in the community. Staff provided people with information about the group activities available and people chose if they wanted to attend them.

People were involved in the assessment and planning of their care. Regular review meetings were held for people to monitor their progress and agree on future goals to increase their independence. People raised their concerns to the staff team that provided them with opportunities to question practice as necessary. The organisation had asked people and their relatives for feedback about the services provided for people to ensure their involvement in developing the service.

The management team had supported staff to carry out their responsibilities as required. Staff to

Inspection areas

Safe

Good

Updated 17 June 2016

The service was safe. Staff had knowledge and skills to support people from potential harm and abuse. People had crisis and contingency plans in place to guide staff if their mental health had deteriorated.

Sufficient numbers of staff were provided at the service. People had support to take their medicines safely and as prescribed.

Effective

Good

Updated 17 June 2016

Some areas of the service were not effective. We found that staff had not received a Mental Capacity Act (MCA) 2005 training to ensure that the least restrictive option was put in place to meet people's needs.

We recommended the service to seek advice and guidance from a reputable source, in relation to the requirements of the MCA training for social care staff.

The management team provided staff with regular supervision and appraisal. This ensured staff’s professional development in their role. The service monitored staff’s training needs and arranged refresher courses when required.

People had their nutritional needs met at the service. Staff supported people to adhere to their health needs and to attend their health appointments as required.

Caring

Good

Updated 17 June 2016

The service was caring. People told us that staff were kind and caring. Staff had good relationships with people and attended to their support with respect.

Staff provided people with a choice of activities to attend. People had support to develop relationships and social contacts in the community.

Responsive

Good

Updated 17 June 2016

People contributed to the assessment and planning of their care. People had support to monitor their care and support needs and staff helped them to develop their independence skills.

People told us they knew how to complain. Staff supported people to raise their concerns and actions were taken to address them. The provider had asked people and their relatives for feedback about the care provision at the service.

Well-led

Good

Updated 17 June 2016

The service supported staff to undertake their responsibilities as required. The management team provided staff with on-going support and advice when necessary. Staff were encouraged to take additional roles, which ensured their professional development in the service.

Systems were in place to monitor the quality of care provision at the service. Regular checks were carried out to ensure safe environment for people. Staff followed confidentiality principles when sharing people’s personal information with health and social care professionals.