Archived: Mrs Delores Matadeen - Lansdowne Road

Lansdowne Road is registered to provider accommodation and support for a maximum of 14 adults with mental health needs. At the time of this inspection visit, there were 11 people living at the home.

It is a legal requirement that the home has a registered manager in post. There was 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.

Systems in place to monitor and improve the quality of the service were not consistently effective in ensuring people received a good and continually improving quality of service. They had not always been consistently applied to ensure where shortfalls had been identified, they were investigated thoroughly and appropriate action plans put into place to develop and improve the service.

People told us that ‘some’ staff were kind, caring and friendly and treated people with respect, although there were occasions when staff raised their voices to people. People were relaxed and were supported by staff and the management team to maintain relationships that were important to them. There were activities that provided opportunities to optimise people’s social and stimulation requirements. People and their relatives told us they were confident that if they had any concerns or complaints they would be listened to and matters addressed quickly.

Staff were trained to identify signs of abuse and supported by the provider’s processes to keep people safe. Potential risks to people had been identified and appropriate measures had been put in place to reduce the risk of harm. People were supported by sufficient numbers of staff that had been safely recruited. People were supported to receive their medicines as prescribed.

Where people lacked the mental capacity to make informed decisions about their care, relatives, friends and relevant professionals were involved in best interest's decision making. Applications had been submitted to deprive people of their liberty, in their best interests; therefore, the provider had acted in accordance with the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS).

Overall, people spoke positively about the choice of food available. People were supported to eat and drink enough to maintain their health and wellbeing. People were supported to access health care professionals and people’s health care needs were assessed and reviewed.

People felt they received care and support from care staff that had the skills to meet their needs. Staff received supervision and appraisals, providing them with the appropriate support to carry out their roles.

Lansdowne Road is registered to provide accommodation and support for a maximum of 14 adults with mental health needs. There were 12 people living at the home on the day of our visit.

There was a registered manager in post at the time of our inspection. 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.

It is a legal requirement for a service that has received a rating of its performance by the Care Quality Commission (CQC) to display a sign or a poster with the most recent assessment of their overall performance. This must be displayed in a prominent position so it can be easily seen at the provider’s location. Although the results of the most recent performance rating could be accessed through external websites, there was no sign or poster displayed at the home. You can see what action we told the provider to take at the end of this report.

People who lived at the home felt secure and safe in the knowledge that staff was available to support them, when they needed to be supported. The provider had systems in place to keep people safe that protected them from the risk of harm and ensured people received their medicines as prescribed.

There was sufficient numbers of staff to meet people’s identified needs. The provider ensured staff were effectively recruited and they received the necessary training to meet the support needs of people.

People were involved in decisions about their care and support. The provider had followed the correct procedures when determining if any person was being deprived of their liberty.

People received meals that met their dietary and nutritional requirements. People accessed health and social care professionals with regular appointments when needed. Staff knew when people had appointments or meetings and supported people to attend these where appropriate.

People knew the staff that supported them and staff knew people well and was aware of each person’s individual care needs. Staff maintained people’s dignity when supporting them with personal care.

People's relationships with their family and friends were encouraged and had been supported by the provider.

People’s health care and support needs were assessed and reviewed. People were encouraged to participate in activities and interests if they wished. People knew how to complain and felt their concerns would be addressed by the provider. There were processes in place for recording and managing complaints. There had been no complaints about the service since the last inspection and people felt staff would support them to raise concerns if and when required.

The provider had established management systems in place to assess and monitor the quality of the service.

Staff spoken to was able to tell us about people's needs so that they received care in a way that they preferred. One staff told us, 'I always check with people that they are happy with the care we are giving them. 'Both relatives told us they were consulted about their relative's care and kept informed about their relative's health so they felt involved in their care.

We saw that people were relaxed in their environment and that systems were in place to keep people safe from harm.

Staff received a range of training so that they had up to date knowledge and skills in order to support the people who lived in the home.

There were systems in place to monitor how the home was run, to ensure people received a quality service.

People told us they liked living there and could choose what they did. We saw that people were given choices about what they ate and drank and where they spent their time.

We saw that people had been asked about and had consented to the care and medication they received.

Staff monitored people's health and referred them to health professionals where needed to meet their health needs.

People were supported to eat a varied and nutritious diet, so meeting their health needs.

Limited activities were provided inside the home but people said if they wanted to go out they were supported to do this. People were supported to meet their religious and cultural needs, so promoting their well being.

The home was clean, however current guidance on preventing infections was not available to reduce the risks of the spread of infections.

The home was safe and comfortable for people to live in and had recently been redecorated.

Staff were supported by the manager but did not receive all the updated training they needed to meet people's specific needs.

People were asked for their views about the home and these were listened to. Regular audits were completed and action taken where needed to make improvements.