Background to this inspection
Updated
16 February 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The inspection was undertaken by one inspector. The inspection took place on the 14 January 2018.
Before the inspection, we reviewed information we held about the service. This included previous inspection reports and notifications we had received. A notification is information about important events which the service is required to send us by law.
Prior to the inspection, we asked the provider to complete a Provider Information Return. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed this information as part of the inspection.
During the inspection we spoke with a senior member of staff on duty and following the inspection we spoke with the deputy manager. We met and spoke with ten people at the service.
We looked at three records related to people’s individual care needs and discussed the care and support other people at the service received. These included support plans and risk assessments. We also looked at records related to the administration of medicine, staff training and staff and resident meeting minutes. We reviewed the quality assurances processes in place at the service and feedback people had provided.
Following the inspection we requested feedback from three health and social care professionals. One community mental health nurse responded. We also left details for other staff to contact us if they wished as the inspection occurred over a weekend. No staff made further contact.
Updated
16 February 2018
The inspection took place on 14 January 2018 and was unannounced.
Castle Road is a residential home providing care, rehabilitation and support for up to 13 people with mental health needs.
At this inspection there were 13 people living at the service.
At the last inspection in November 2015, the service was rated Good.
At this inspection we found the service remained Good.
Why the service is rated Good.
The service had a registered manager in post. 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.
On the day of the inspection staff were relaxed, and there was a calm, quiet atmosphere. Everybody had a clear role within the service. Information we requested was supplied promptly, records were organised, clear, easy to follow and comprehensive.
People were comfortable with staff supporting them and we observed positive interactions. Care records were in date, personalised and gave people control over aspects of their lives. Staff responded quickly when they noted changes to people’s mental or physical well-being contacting the appropriate health professionals for example people’s mental health nurses. People or where appropriate those who mattered to them, were involved in discussing people’s care needs and how they would like to be supported. People’s preferences for care and treatment were identified and respected.
Staff exhibited a kind and compassionate attitude towards people. Positive, caring relationships had been developed and practice was person focused and not task led. Staff had appreciation of how to respect people’s individual needs around their privacy and dignity.
People’s risks were managed well and monitored. People were promoted and encouraged to live full and active lives as part of their recovery.
People had their medicines managed safely. People received their medicines as prescribed, received them on time and understood what they were for. People were supported to maintain good health through regular access to health and social care professionals, such as GPs, mental health nurses, social workers and physiotherapists.
People we observed were safe. The environment was uncluttered and clear for people to move freely around the home. All staff had undertaken training on safeguarding vulnerable adults from abuse, they displayed good knowledge on how to report any concerns and described what action they would take to protect people against harm, bullying or harrassment.
People were supported by staff that confidently made use of their knowledge of the Mental Capacity Act (2005), to make sure people were involved in decisions about their care and their human and legal rights were respected. The service followed the processes which were in place which protected people’s human rights and liberty.
People were supported by a staff team that had received a comprehensive induction programme, training for mental health conditions and ongoing support from the registered manager.
People were protected by the service’s safe recruitment practices. Staff underwent the necessary checks which determined they were suitable to work with vulnerable adults, before they started their employment.
The service had a policy and procedure in place for dealing with any concerns or complaints.
No written complaints had been made to the service in the past twelve months.
People described the management team to be supportive and approachable. Staff talked positively about their jobs. The registered manager was supported by a deputy manager and senior staff.
There were effective quality assurance systems in place. Incidents were appropriately recorded and analysed for learning. Learning from incidents and issues raised was used to help drive improvements. Inspection feedback was listened to which further enhanced the quality of care.