Harrow Street

Updated 8 June 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check 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 19 April 2018 and was announced. The provider was given short notice because we needed to be sure that people using the service would be available to speak with us. This inspection was carried out by one inspector.

Before the inspection visit we looked at the information we held about Harrow Street including any concerns or compliments. We looked to see if we had received any statutory notifications from the provider. A statutory notification is information about important events which the provider is required to send us by law. We considered this information when planning our inspection to the home.

During the inspection we spoke with one person who was receiving support from Harrow Street. We also spoke with three members of support staff and with the registered manager. We met and spoke with two family members who were visiting people using the service.

We looked at three support plans to see how these were developed and to ensure these contained the choices and wishes of people using the service. We also reviewed files relating to recruitment, induction, supervision and training files for three support staff.

We looked at additional records that showed us how people were supported. These included such records as recruitment files, medicine records, daily records, reviews of support plans, risk assessments and any activities that had been undertaken. We also looked at how the registered manager audited the quality of the service that was provided.

Updated 8 June 2018

Harrow Street provides short-term residential respite care for up to five people with learning disabilities. The service also provides day care support to people with learning disabilities, although this activity is not regulated by the Care Quality Commission (CQC). At the time of this inspection there were four people receiving support from the service.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns.

This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The service supported people who had varied needs to live a safe and fulfilled life. Assessed risks to people were reduced or eliminated to support the safety of people using the service.

There was a registered manager in post. There were audits and spot checks in place to make certain staff worked correctly and that people received the appropriate support at a good standard. People using the service and their relatives had various ways of sharing their views and this was openly encouraged.

People’s support plans reflected their individual choices and goals and people were supported to have maximum choice and control of their lives. Staff understood and followed the Mental Capacity Act 2005 guidance. Staff asked for people's consent before providing any support.

Support staff and people using the service knew how to make a complaint and had no worries about doing so.

The registered manager regularly asked for the views of people about the quality of the support that was provided at Harrow Street. Staff had completed all required training and this was updated on a regular basis to ensure people's needs were met appropriately.

Systems were in place for the reporting of notifications to CQC and incidents that involved people had been reported to us as required.

Further information is in the detailed findings below.