Archived: Community Options Limited - 78 Croydon Road

We carried out this unannounced comprehensive inspection on 08 September 2016; we checked that the requirements of the regulations had been met in response to the breaches we identified on 19 April 2016 inspection. You can read the report from our last inspection, by selecting the ‘all reports’ link for ‘Community Options – 78 Croydon Road’ on our website at www.cqc.org.uk

Community Options Limited - 78 Croydon Road provides support for up to seven people living in the community recovering from mental health, drug or alcohol problems. On the day of our inspection there were seven people using the service.

At this inspection we found that the provider had taken action so that all COSHH products were stored securely when not in use. The provider had also ensured that all one to one sessions with keyworkers were documented and CPA review meeting minutes were maintained on people’s care files.

We found that resident surveys to obtain feedback on the service were carried out. However, we found that improvement was needed as following analysis action plans were not in place to drive necessary improvements.

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.

Systems were in place to monitor and evaluate the quality and safety of the service. The provider took into account the views of people using the service and staff but improvement was needed as following analysis of feedback action plans were not in place to make any necessary improvements.

Safeguarding adult's procedures were robust and staff understood how to safeguard people they supported. There was a whistle-blowing procedure available and staff said they would use it if they needed to. Appropriate recruitment checks took place before staff started work and there were enough staff on duty and deployed throughout the home to meet people's care and support needs.

Medicines had been managed appropriately. Accidents and incidents were logged and followed up in a timely manner.

Risks to people using the service were assessed and risk assessments and care plans provided clear information and guidance for staff.

Staff received adequate training and support to carry out their roles. Staff had received appropriate support through formal supervisions and appraisals.

Staff and the manager demonstrated a clear understanding of the Mental Capacity Act 2005(MCA) and the Deprivation of Liberty Safeguards and acted according to this legislation. Staff asked people for their consent before they provided care.

People using the service, their care managers and appropriate healthcare professionals had been involved in the care planning process. People's support and care needs were identified, documented and reviewed on a regular basis.

People were supported to have a balanced diet and people had access to health care professionals when they needed them.

Staff delivered care and support with compassion and consideration. People using the services' privacy, dignity and confidentiality was respected and people were encouraged to be as independent as possible.

Care plans were accurate and people's preferences were correctly documented. People participated in a variety of activities both in and out of the service. People knew about the complaints procedure and said they believed their complaints would be investigated and action taken if necessary.

Regular residents meetings were held where people were able to talk to the manager and staff about the home and the things that were important to them. People and their relatives knew about the home's complaints procedure and said they believed their complaints would be investigated and action taken if necessary.

Regular staff meeting took place and staff said there was a good atmosphere and open culture in the service and that both the registered manager and the deputy manager were supportive.

At our previous comprehensive inspection we found the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008,

This report only covers our findings in relation to this topic. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for ‘Community Options – 78 Croydon Road ’on our website at www.cqc.org.uk’

Community Options Limited - 78 Croydon Road provides support for up to seven people living in the community recovering from mental health, drug or alcohol problems. On the day of our inspection there were six people using the service.

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.

At this inspection we found a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. A Control of Substances Hazardous to Health (COSHH) product was not stored securely when not in use. Detailed records of one to one conversations were not maintained to support staff in recognising risks to people. Reports of Care Program Approach (CPA) review meetings were not always maintained on people’s care files. Failure to maintain these reports meant that staff may not be aware of any issues arising from these meetings.

People using the service said they felt safe and that staff treated them well. Safeguarding adults procedures were robust and staff understood how to safeguard the people they supported.

Where people required support with their medicines, we saw there were robust arrangements in place to ensure medicines were managed and administered safely.

Appropriate recruitment checks took place before staff started work and staffing levels were appropriate to meet the needs of people using the service.

We found that people were involved in their care planning and each person had a risk assessment in areas relevant to their needs. There were arrangements in place to ensure people were safeguarded against the risk of abuse. We found that people were cared for in an environment that was safe and comfortable. There were enough qualified staff on duty who were aware of people's needs and the support they needed. People who use the service had been provided with adequate information to encourage them complain if they were unhappy about the service provided.

One person said that they felt able to work towards having their own flat with the help of staff, family and friends.

We found that the people who used the service were involved in their care planning and received a personalised care and support. Staff received support and training in different aspects of care and demonstrated an understanding of safeguarding of vulnerable adults. The provider had systems in place to monitor the quality of the service.