Background to this inspection
Updated
17 August 2015
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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.
This inspection took place on 18 June 2015 and was announced. The registered provider was given 48 hours notice because the location was a small care home for younger adults who are often out during the day; we needed to be sure someone would be in.
The inspection was undertaken by an adult social care inspector.
Before our inspection visit on 18 June 2015 we reviewed the information we held on the service. This included notifications we had received from the registered provider, about incidents that affect the health, safety and welfare of people who lived at the home and previous inspection reports. We also checked to see if any information concerning the care and welfare of people who lived at the home had been received.
We spoke with a range of people about the service. They included the registered provider, her daughter and two people who lived in the home. We also spoke with the commissioning department at the local authority. This helped us to gain a balanced overview of what people experienced accessing the service.
We looked at the care records of two people, arrangements in place for meal preparation, records relating to the management of the home and the medication records of both people.
Updated
17 August 2015
This inspection visit took place on 18 June 2015 and was announced. The registered provider was given 48 hours notice because the location was a small care home for younger adults who are often out during the day; we needed to be sure someone would be in.
At the last inspection on 06 December 2013 the service was meeting the requirements of the regulations that were inspected at that time.
The registered provider was an individual who also managed the home on a day to day basis. Registered providers 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.
20 Burlington Road is a care home registered to accommodate up to three adults. The home is a large mid terraced property. It is run as an ordinary domestic household. People live with the owners and their family and share the communal facilities. The house is close to all local amenities. At the time of our inspection visit there were two people who lived at the home.
The carers in the home were the registered provider and her daughter, who was the main carer. The service did not employ any staff. Both people living in the home were independent and could attend to their own care needs with minimum supervision.
Suitable arrangements were in place to protect people from abuse and unsafe care. Both people told us they felt safe and their rights and dignity were respected. One person said, “I love everything about living here. I feel so safe.”
We looked at the care records for both people. There was information in place about the
support needs for each person and how these were being met.
We found both people were having their healthcare needs. They told us they had access to their doctor’s when they needed to see them.
We found medication procedures in place at the home were safe. Medicines were safely kept and appropriate arrangements for storing were in place. People told us they received their medicines at the times they needed them.
The home was well maintained and clean and hygienic when we visited. The people we spoke with said they were happy with the standard of accommodation provided.
People were happy with the variety and choice of meals available to them. Regular snacks and drinks were available to them between meals to ensure they received adequate nutrition and hydration.
The registered provider understood the requirements of the Mental Capacity Act (2005) (MCA and the Deprivation of Liberty Safeguards (DoLS). This meant they were working within the law to support people who may lack capacity to make their own decisions.
People had freedom of movement around the building. They were involved in decision making about their personal care needs and the running of the home. We saw no restrictions on people’s liberty during our visit.
There was no formal internal quality assurance in place but informal checks were made
routinely. Everyone talked together frequently to discuss any plans or changes. Decisions were made as a family group.