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Archived: Community Options Limited - 33 Albemarle Road Good

Reports


Inspection carried out on 4 January 2017

During a routine inspection

This inspection took place on 4 January 2017 and was unannounced. At the last inspection of the service on 30 March 2015, we found the provider was meeting the regulations in relation to the Health and Social Care Act 2008.

Community Options - 33 Albemarle Road is a small residential care home that provides accommodation and personal care support for up to seven adults with mental health needs. At the time of our inspection the home was providing care and support to seven people.

There was a deputy manager in post at the time of our inspection and an acting manager had been appointed and was due to be in post the following week. The service had a registered manager in post, however they were absent from the service for an agreed significant amount of planned time. 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.

Medicines were administered and stored safely, however the management and recording of medicines was not always consistently safe. This required improvement. We made a recommendation that the provider follows best practice and guidance in relation to the safe management and administration of medicines. We will check on this at our next inspection of the service.

Risks to the health and safety of people using the service were assessed and reviewed in line with the provider's policy. There were arrangements in place to deal with foreseeable emergencies and there were safeguarding adult’s policies and procedures in place. Accidents and incidents were recorded and acted on appropriately. There were safe staff recruitment practices in place and appropriate numbers of staff to meet people’s needs.

There were processes in place to ensure staff new to the home were inducted into the service appropriately and staff received training, supervision and appraisals. There were systems in place which ensured the service complied with the Mental Capacity Act 2005 (MCA 2005). This provides protection for people who do not have capacity to make decisions for themselves. People’s nutritional needs and preferences were met and people had access to health and social care professionals when required.

People were treated with respect and were consulted about their care and support needs. Staff respected people’s dignity and privacy. People’s support needs and risks were identified, assessed and documented within their care plan. People were provided with information on how to make a complaint. There were systems and processes in place to monitor and evaluate the service provided. People were asked for their views about the service through residents meetings and satisfaction surveys.

Inspection carried out on 30 March 2015

During a routine inspection

This inspection was carried out on 30 March 2015 and was unannounced. At our last inspection on 24 May 2013, we found the provider was meeting the regulations in relation to outcomes we inspected.

Community Options - 33 Albemarle Road is a care home that provides accommodation and personal care for up to seven adults with mental health needs. At the time of our inspection the home was providing care and support to seven people.

There was a registered manager in place. 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 using the service said they felt safe and that staff treated them well. Appropriate recruitment checks took place before staff started work. Staff had completed training specific to the needs of people using the service, for example, in mental health awareness.

Staff understood how to safeguard the people they supported from abuse. The manager demonstrated a clear understanding of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards.

People had been consulted about their care and support needs. Risks to people were assessed and care plans and risk assessments provided clear information and guidance for staff on how to support people to meet their needs.

People’s medicines were managed appropriately and people received their medicines as prescribed by health care professionals.

Staff encouraged people to be as independent as possible. There were regular residents meetings where people were able to talk about things that were important to them and about the things they wanted to do.

People were aware of the homes complaints procedure and said they were confident their complaints would be fully investigated and action taken if necessary.

The provider sought the views of people using the service through annual surveys. The manager recognised the importance of regularly monitoring the quality of the service provided to people and carried out regular audits.

Staff said they enjoyed working at the home and they received good support from the manager. There was a whistle-blowing procedure available and staff said they would use it if they needed to.

Inspection carried out on 24 May 2013

During a routine inspection

One person who used the service we spoke with told us that they were �alright here�. People told us they were asked for their consent before they were provided with care or support they required. Another person told us that staff were �kind and nice� and that they could go to the GP and dentist when they needed to. People told us that they were supported by staff to safely administer their medication. People we spoke with told us that they felt comfortable speaking to staff about any problems or worries they had and that they knew how to complain if they were unhappy.

We found that the provider had a policy in place to determine when consent was required and people�s consent was taken before care and support was delivered. People�s care and support needs were assessed and planned for and potential risks were identified to protect people. We found that the provider had suitable arrangements in place for obtaining, storing, and administering, recording and disposing people�s medication. Support was in place for staff through an induction, training, supervision and appraisal, the staff we spoke with felt they were adequately supported. We found that people�s care and support plans, staff records and other records relevant to the management of the services were accurate and fit for purpose.

Inspection carried out on 23 July 2012

During a routine inspection

People living at the home said they were well cared for and felt supported. People told us that they met with their key worker regularly and felt able to raise any concerns with the manager.

Comments from the satisfaction survey 2012 included:-

�I feel happy and better and able to do much for myself.� and �my full respects to the staff. I think they do a good job.�