You are here

77 Gloucester Road North Good

Inspection Summary


Overall summary & rating

Good

Updated 24 May 2018

This inspection took place on 9 and 11 April 2018 and was unannounced. The service was last inspected in April 2016 and was rated as 'Good'.

77 Gloucester Road North is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

77 Gloucester Road North accommodates six people in an adapted, detached house. At the time of the inspection there were six people living at the service. The registered manager and staff were working in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion so that people could live an ordinary life.

There was a part time registered manager working in the home. 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.

People were supported by staff who had received training in how to recognise signs of abuse. Staff were aware of what actions they would take if they suspected a person was at risk of harm. Staff would take concerns further until their concerns were resolved.

Staff were aware of the risks to people and planned the best way of supporting them whilst at the same time encouraging people’s independence.

Safe systems of recruitment were in place. However care and support to people living in the home was provided by more casual staff than the permanent staff who knew the people well.

The medicine procedures were not always in place to ensure people received their medicines as prescribed by their GP.

Care records provided staff with the information required to effectively support people's care, health and social well-being. Staff were supported by the management team through regular supervisions, training and team meetings.

People were supported to visit their GP and other healthcare professionals, in order to maintain good health. People were involved in planning their weekly menus and some were encouraged to be involved in the preparation of their food.

Staff obtained people's consent prior to offering support. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice and people’s rights.

People receive support from staff who treated them with dignity and respect. People were comfortable in the presence of staff, who supported them in a friendly manner. People were provided with information in a format they understood.

Complaints raised were investigated and responded to and where appropriate, lessons were learned. Staff were confident that if people raised a concerns they would be listened to and action would be taken.

Staff were motivated and felt supported in their role and worked with the registered manager's vision for the service.

The provider and home staff carried out regular audits of the service.

People and staff were provided with the opportunity to give feedback on the service, which was then acted on. A variety of audits were in place to assist the registered manager in making improvement across the service.

Inspection areas

Safe

Requires improvement

Updated 24 May 2018

The service was not always safe.

Staff knew how to recognise the signs of abuse and report any concerns.

Risk assessments were centred on individual needs and there were effective measures in place to reduce risks to people.

There was an appropriate system in place for the monitoring and management of accidents and incidents.

There was not always a sufficient number of staff with in depth knowledge deployed to ensure that people's needs were consistently met to keep them safe. Safe recruitment procedures were followed in practice.

Medicines were not always administered safely.

Effective

Good

Updated 24 May 2018

The service remains effective.

Caring

Good

Updated 24 May 2018

The service remains caring.

Responsive

Good

Updated 24 May 2018

The service remains responsive.

Well-led

Good

Updated 24 May 2018

The service remains well led.