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Archived: Royal Mencap Society - 12 Wales Street Requires improvement

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Inspection report

Date of Inspection: 21 July 2014
Date of Publication: 2 September 2014
Inspection Report published 02 September 2014 PDF

Overview

Inspection carried out on 21 July 2014

During a routine inspection

Our inspection was carried out by one adult social care inspector who visited the service unannounced on 21 July 2014. At the time of our inspection four people lived at the service. We spoke with people who used the service and they told us that they were happy living at Wales Street. We also spoke with the registered manager and staff on duty. We reviewed records relating to the management of the home which included, care plans, daily care records, staff training records and records relating to the monitoring and assessment of the quality of the service. We also watched how staff supported people who used the service.

Below is a summary of what we found. The summary describes what people using the service and the staff told us, what we observed and the records we looked at.

Is the service safe?

Care plans and risk assessments were in place which identified any specific risks for people who used the service and the actions staff should take to minimise the risk. Staff were knowledgeable about the needs and risks for each person who used the service, and the actions they should take to reduce the risk.

Staff received training in safeguarding vulnerable adults and understood their responsibilities for reporting any concerns about the treatment of people.

Is the service effective?

People's health and care needs were assessed and plans of care developed according to their needs. Information about how people communicated their needs and wishes was clearly identified in care plans which helped staff to provide appropriate care. From our observations and discussions with staff, we concluded that staff had a good knowledge of each person's care needs and preferences. This meant that most of the time staff were able to support people effectively. However, staff shortages sometimes meant that people were not always able to take part in their chosen activity, or access the community.

Is the service caring?

We saw that people were treated with dignity and respect by the staff. People who used the service were relaxed in the presence of staff and responded positively to them. People who used the service told us that they liked the staff and we heard staff talk about people in a caring manner.

Is the service responsive?

We saw that staff were kind and responsive to people's needs. Staff understood the importance of obtaining consent from people who used the service and responded to individual needs. For example, when someone refused food, staff respected the person�s decision, however continued to offer encouragement and alternatives.

Is the service well-led?

We found that overall the service was well managed. The registered manager also managed another small home fifteen miles away. They told us that they divided their time between the two services and head office. The manager was not present when we arrived, and staff did not know which days the manager would be at the service; however they were able to contact the manager.

Contact details for senior managers were also available to staff. Staff told us that management support was also available out of office hours, although due to some recent changes, another member of staff was the first point of contact. This meant that management support was available to staff.

Effective systems were in place to assess and monitor the quality of care. Regular checks on all aspects of the service were carried out by an area manager and where necessary improvements made.