• Care Home
  • Care home

Archived: Stanway Close and Greenway Road

Overall: Good read more about inspection ratings

18 Stanway Close, Taunton, Somerset, TA2 6NJ (01823) 215706

Provided and run by:
Homes Caring for Autism Limited

Important: The provider of this service changed. See new profile

All Inspections

29 January 2018

During a routine inspection

Stanway Close and Greenway Road is a care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Eight people with a learning disability and autism were receiving care at the service. They were between the ages of 25 and 37. Stanway Close and Greenway Road are two interconnected buildings in the centre of Taunton. Stanway Close is over three floors and consists of five flats. Greenway Road is over two floors and consists of three en suite bedrooms.

The care service has been developed in line with the values that underpin ‘Registering the right support’ 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.

At the last inspection, the service was rated Good.

At this inspection we found the service remained Good.

Why the service is rated Good

People were safe at the service because recruitment, staffing, medicine management, infection control and upkeep of the premises protected people from unsafe situations and harm. Individual risks to people were assessed and managed with as little restriction to the person as possible.

Staff understood their responsibilities to protect people from abuse and discrimination. They were knowledgeable and knew to report any concerns and ensure action was taken. The registered manager worked with the local authority safeguarding adults team to protect people.

Staff praised the training they received. They were supported to be skilled and efficient in the roles. Arrangements for staff supervision and support, and the availability of the registered manager, enabled them to be effective support workers.

People’s legal rights were understood and upheld. People’s health care needs were met. A health care professional said the service “Strived for an increase in a person’s quality of life”.

The premises provided people with a variety of spaces for their use. Flats and bedrooms were very individual and based on the person’s preferences. There were arrangements in place to upgrade the premises as necessary.

People received a varied diet according to their likes and dislikes. Specialist diets were understood and being met.

People’s privacy and choice were fully supported. Staff promoted people’s dignity. Staff were kind and caring and all interactions between staff and people using the service were respectful and friendly.

Support plans were detailed and reviewed with the person when possible, staff who support the person, external professionals (as necessary) and family members. Staff looked to identify best practice and use this to people’s benefit. Staff worked with, and took advice from, experts within the provider organisation and external health care professionals.

People had a variety of meaningful activities available to them according to their preferences. They were encouraged to lead interesting lives. Multimedia was used as a resource to support people’s understanding.

The service was well organised. People’s views were sought and opportunities taken to improve the service. Staff were supervised, supported and clear what was expected of them. Audits and checks were carried out in-house and through the provider so any problem could be identified and rectified.

The registered manager understood and met their legal responsibilities.

11 September 2015

During a routine inspection

This inspection took place on 11 September 2015 and was unannounced.

The service provides accommodation and support for up to eight adults with a learning disability or autistic spectrum disorder. At the time of the inspection there were eight people living in the home with complex care needs. People had a range of moderate to very severe learning disabilities or autistic spectrum disorders. Some of the people had good language skills but most had limited or no verbal communication skills. People required individual one to one staff support within the home and several people needed two members of staff to support them when they went out into the community. One person with very complex needs received two to one staff support at all times.

The service had a registered manager. 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.

People received good quality care and support in accordance with care plans that were person centred and focused on people’s individual needs and preferences. One person’s relative commented “The staff are all so good at what they do”.

People were happy and at ease with the staff who supported them. One person said “I like living here”. Another person’s relative said “[Person’s name] always seems happy and content when we speak to them on the phone or visit. This gives us great peace of mind”.

People’s relatives were made very welcome and were encouraged to visit the home as regularly as they wished. The service was good at keeping them informed and involving them in decisions about their relatives care.

Individual communication profiles were developed to help staff understand the non-verbal ways in which many of the people expressed their feelings and preferences. We observed staff always checked with people before providing care or support and then acted on people’s choices. Where people lacked the mental capacity to make certain decisions about their care and welfare the service knew how to protect people’s rights.

There were enough staff deployed to meet people’s complex needs and to care for them safely. People were engaged in a variety of activities within the home and in the community and staff supported people to go out most days. This helped to ensure people experienced a good quality of life.

Staff received generic and individual specific training to support people’s complex care and support needs. Staff had a very good understanding of each person’s individual support and communication needs and their preferences.

People received their medicines safely and were supported to maintain good health by a range of external health and social care professionals.

The provider’s quality monitoring systems ensured the service maintained high standards of care and promoted continuing service improvements. Staff and people’s relatives held the management of the service in high regard.

11 October 2013

During a routine inspection

There were eight people living at the home on the day of our visit. One person was at college for the duration of our visit. We met the remaining seven people and spoke with three relatives. We spoke with several members of staff.

We spoke with some of the people living at the home. Some people were unable to fully express their views and throughout the day we observed these people.

The home had a very friendly, open and welcoming atmosphere. Throughout our visit we saw that people who lived at the home appeared comfortable and at ease with the staff who supported them. Relatives told us that they could approach staff with any concerns and one said they could 'come and talk about anything'.

Staff treated people in a respectful, dignified and professional manner.

Each person had a plan of care that contained all the information required to meet care needs fully. Relatives were happy with the care people received and commented about the staff "staff are fantastic", "very good" and "they have a good care team".

People had an activities plan which was based on their individual choices and abilities. We saw people coming and going, with staff supporting them, throughout our visit.

People had their own menu plans and staff supported people to choose and buy their own food. Some people were supported to regularly go out for lunch to a variety of local eateries. One person with a specialist diet was supported by staff to buy the correct food.

Staff received training in the protection of vulnerable adults and showed signs of how they would recognise potential abuse.

Staff underwent a thorough recruitment procedure and were trained and supported to do their jobs. Staff felt supported in their jobs and comments included 'it's lovely, very supportive and good team working', 'supervision is brilliant' and 'supported immensely'.

11 January 2013

During a routine inspection

People who lived at the home were unable to fully express their views verbally. Throughout the day we observed that people were always asked for their consent before staff assisted them with tasks. People we met appeared cheerful and relaxed with the staff who supported them. We noted that all interactions between staff and people were friendly and respectful. One person told us 'The staff help me when I need help and are kind.'

Each person had a support plan which was personal to them. We read one support plan in detail. The plan gave information about all aspects of the person's day to day life and how they liked to be supported. This ensured that staff had clear information about the person and were able to provide appropriate support and care.

No one who lived at the home had been assessed as able to administer their own medication. Medication was administered by staff who had received training in this area and had had their competence assessed by a more senior member of staff.

There was a clear staffing structure meaning that there were clear lines of accountability and responsibility. There was always a senior member of staff on duty who offered support and guidance to less experienced staff. We observed that staff were cheerful and competent in their roles. One person told us 'Staff seem to know their stuff' another said 'The staff are nice.'

The company had a complaints policy which ensured that all complaints were recorded and fully investigated.

27 January 2012

During a routine inspection

Some people living at the home were not able to fully express their views verbally and the home used various communication methods to ensure people were able to make choices.

On the day of the inspection the home was well staffed and everyone was able to take part in their chosen activities. Staff spoken with, and observed, appeared confident and well motivated. Staff said that there was good communication between all staff which meant that people received very consistent care and support.

We observed that staff interacted with people in a kind and professional manner. Everyone appeared comfortable with the staff that supported them, creating a relaxed atmosphere. People told us that they were happy with the care and support that they received.

People were supported to make choices about their day to day lives. Each person had an activity plan that they had agreed with staff. We saw copies of these plans in individual rooms and in care plans. All were personal to the individual, taking account of their abilities and interests. One person said 'You always choose what you want to do' and another person said 'I stay up late sometimes and get up when I want.'

The home was made up of five individual flats and we saw that people were able to personalise their flat according to their taste. One person told us that they were planning to redecorate and were able to choose the colour scheme.

We saw that staff respected people's privacy by knocking on doors and waiting to be invited in.

Care plans seen showed that people had access to a variety of health and social care professionals according to their individual needs. On the day of the inspection one person was supported to attend an appointment outside the home. We noted that staff explained to the person what the appointment was for and who they would be meeting. Staff told us that people were able to decide whether staff attended appointments with them or not.

Two people told us that if they had any worries or concerns that they would speak with a member of staff. Staff said that they would notice any changes in behaviour or mood, which may indicate that a person was unhappy or worried.