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Inspection Summary


Overall summary & rating

Good

Updated 22 March 2017

We inspected Antill Road on 5, 6,7,8,12,13 and 15 December 2016, the inspection was announced. Our last inspection took place on the 8 August 2013 where we found the provider was meeting all of the regulations we checked.

Antill Road is registered to provide personal care and support to 169 adults with complex needs in their own homes including people with a learning disability, mental health needs and people with autism spectrum disorder (ASD). The services are provided to people in supported living schemes and in addition to this a floating support service and a specialist outreach service is provided for people on the autism spectrum. Some people fund their care packages with the specialist outreach service through direct payments from their local council, which meant they had chosen to buy services from the provider.

The provider is the landlord for the majority of the supported living schemes that were provided in Waltham Forest and some of the schemes are owned by private landlords and the local authority. The schemes are located in the boroughs of Bromley, Camden, Enfield, Hackney, Haringey, Islington, Tower Hamlets and Waltham Forest. The Care Quality Commission regulates the provision of personal care services but does not regulate housing support. At the time of our inspection there were 120 people receiving personal care services.

There were four registered managers in post during 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.

Information about the home was accessible and understood by people who used the service. People had communication plans in place and staff followed these. People were listened to and their rights were respected and staff provided person-centred care.

Recruitment checks were completed to assess the suitability of the staff employed. Staff received suitable training and good support to enable them to carry out their roles. There was a suitable number of staff to meet the needs of the people who used the service.

The provider ensured the administration, storage and disposal of medicines were managed safely.

Suitable arrangements were in place to ensure people received good nutrition and hydration.

Staff had a good understanding of safeguarding procedures and followed protection plans to minimise the risk of harm to people. The provider worked in in partnership with other stakeholders to minimise future re-occurrences of any incidents.

People were supported by staff to attend health care appointments when there were changes to their health care needs or associated risks to their health. Staff followed the legal requirements in relation to the Mental Capacity Act 2005. Staff understood the MCA and presumed people had the capacity to make decisions first.

People were supported to maintain positive relationships with their relatives and friends. Relatives were complimentary regarding the care and support provided by staff. People had access to activities that were important to them and were encouraged to be active in the community.

Relatives knew how to make a complaint but some felt their concerns were not resolved within the appropriate timescales. There was an easy read complaints policy available for people.

Systems were in place to effectively improve the quality of care delivered.

Inspection areas

Safe

Good

Updated 22 March 2017

The service was safe.

People were supported by staff who understood how to keep them safe and report concerns.

Risks to people's health and well-being were assessed and staff were guided about how to manage any risks.

Sufficient staff were deployed to ensure people's needs were met.

People were supported to take their medicines as prescribed.

Effective

Good

Updated 22 March 2017

The service was effective.

Staff followed the legal requirements in relation to the Mental Capacity Act 2005.

Staff had completed essential training to maintain their knowledge and skills.

People received good nutrition and hydration and were involved in making choices regarding food preferences.

People were referred to healthcare professionals promptly when required.

Caring

Good

Updated 22 March 2017

The service was caring.

Staff developed positive and trusting relationships with people.

People were involved in discussing their needs, preferences and wishes.

Relatives told us that their family members were treated with dignity and respect.

Responsive

Good

Updated 22 March 2017

The service was responsive.

People received support which was personalised around their individual needs. Staff promoted people's independence and adapted support when their needs changed.

Opportunities were available to people to access the activities that were important to them. These met their diverse needs, which promoted people’s well being.

People’s individual religious, cultural and lifestyle needs were met. The service had a strong commitment to providing person-centred care.

People knew how to complain. Relatives had mixed views about how complaints were responded to, however the provider had identified this as an issue to be addressed.

Well-led

Good

Updated 22 March 2017

The service was well led.

Staff felt supported and valued in their roles and showed a high level of commitment.

The provider carried out regular audits to identify and address any shortfalls.

There were systems in place to measure the quality of the service and the provider was committed to using every opportunity to drive improvement.