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Autism Together - 86 Allport Road Good

Reports


Review carried out on 8 July 2021

During a monthly review of our data

We carried out a review of the data available to us about Autism Together - 86 Allport Road on 8 July 2021. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Autism Together - 86 Allport Road, you can give feedback on this service.

Inspection carried out on 19 December 2017

During a routine inspection

86 Allport Road is part of the Autism Together organisation and is registered to provide accommodation for three people who require support and care in their daily lives. 86 Allport Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The home is a detached house in the area of Bromborough on the Wirral. At the time of our inspection there were three people living there. The two-storey domestic type property is close to shops, public transport and other local amenities.

At the last inspection the service was rated Good. At this inspection we found the service remained Good.

We spoke with two of the people who lived in the home and two relatives who all gave positive feedback about the home and the staff who worked in it. We saw that people were living busy, independent lives, supported by a willing staff team who were encouraging and supportive.

Staff spoken with and records seen confirmed training had been provided to enable them to support the people with their specific needs. We found staff were knowledgeable about the support needs of people in their care. We observed staff providing support to people throughout our inspection visit. We saw they had positive relationships with the people in their care and they were guests in the people’s home, respecting people’s space and choices.

The registered manager 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. We saw during the inspection that people were supported to make their own decisions and their choices were respected. Assistive technology was in place to maximise people’s independence.

Care plans were person centred and driven by the people who lived in the home. They detailed how people wished and needed to be cared for. They were regularly reviewed and updated as required.

We found medication procedures at the home were safe. Staff responsible for the administration of medicines had received training to ensure they had the competency and skills required. Medication administration was countersigned by two staff members to ensure safe administration.

The registered manager used a variety of methods to assess and monitor the quality of the service. These included regular audits of the service and staff meetings to seek the views of staff about the service. The staff team were consistent and long standing. They demonstrated that they were committed to providing the best care possible for the people living in the home.

Inspection carried out on 30 October and 2 November 2015

During a routine inspection

This comprehensive inspection took place on 30 October 2015 at Oak House (the headquarters of the provider, Wirral Autistic Society) where we looked at some records relating to 86 Allport Road and on 2 November 2015, when we visited the home itself.

This home is one of a range of services provided by the Wirral Autistic Society. The home is a detached house in a quiet residential area. The house is four bedroomed, three of which were used by the people living in the home and the other smaller bedroom was used as a staff sleep in room and contained the locked medicines cabinet and the records relating to medication administration. This lockable room also contained many of the records relating to the running of the home. There was a large lounge and a dining room. The kitchen was complemented by room off it which was called 'the snug' and which was used for ironing and for storing people's craft items. There was also a garage which was used as a utility area and where the washing machine, dryer and fridges and freezers were stored. At the rear of the house was a private garden.

We last inspected this home in July 2014. We had not found any breaches of legislation.

The home provided support and accommodation for up to three people. At the time of our inspection there were three people living there who had all lived there for some time. The three people living in the home had various conditions on the autism spectrum.

The home required a registered manager. 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. There was a registered manager in place who had been there for several years as had many of the staff.

We observed that people who lived in their home, were relaxed and got on well with staff. They were able to take the initiative of deciding what they want to do and how they wanted to do it The staff were supportive and enabled people to be as independent as they could be. Activities during the week included attending some of the other services which the provider ran and things such as such as shopping, going to church and visiting family.

We saw records to show that staff were properly recruited, well-trained and supported. When we talked with them, they demonstrated that they had knowledge of autism and that they cared about people living in the home.

We saw that medication in the home was appropriately stored and administered and that proper records were kept relating to this. In other areas of the home we saw firefighting equipment and smoke alarms and the house was clean, tidy, personalised and homely. Each person had chosen the decor and furnishings of their own room, were able to lock it and we saw that the communal rooms were comfortably appointed.

All the records and audits had been correctly compiled and those which were confidential were securely stored. The records were comprehensive, understandable and they were up-to-date.

 

 

Inspection carried out on 30 July 2014

During a routine inspection

Not all of the records we needed to look at were kept on the premises so we visited Wirral Autistic Society headquarters and sampled records and files. We looked at how the organisation recruited staff and what checks they made to ensure that candidates were suitable to work with vulnerable adults. We looked to see what training staff attended, how the organisation managed complaints, what policies and procedures were in place and how the organisation monitored its own performance. Some of the records were kept as paper records, others were computerised.

A single inspector carried out this inspection. The focus of the inspection was to answer five key questions, "Is the service safe?". "Is the service effective?". "Is the service caring/". "Is the service responsive?". "Is the service well-led?"

86 Allport Road is a large detached property and home to three people.

We talked with one person living at the home and generally with the others who lived there. All the people using the service appeared relaxed and content. We also talked with two members of staff on duty. We looked at various records including care plans for the people living there.

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.

If you want to see the evidence that supports our summary please read the full report.

Is the service safe?

There were enough staff on duty to meet the needs of the people living at the home and a member of the management team was available or on call in case of emergencies.

Staff had been appropriately and properly recruited, ensuring that Criminal Records (CRB) or Disclosure and Barring Scheme (DBS) records had been checked.

Staff were trained in safeguarding principles and procedures and the people living in the home had been given information in easy read format to help them raise a concern if they were worried about anything. The home had a safeguarding policy which was regularly monitored.

Is the service effective?

One person told us that they were happy living in the home and staff supported them to do what they wanted.

Staff had received training to meet the needs of the people living at the home.

Is the service caring?

People had been involved in the development of their care plans and continued to be involved throughout their stay in the home. We noted that people's preferences about, for example, activities, room layouts or clothing choices, were respected by the staff. The people who used the service people were supported, where necessary, to make these choices and decisions.

People had access to activities that were important to them and had been supported to maintain relationships with their friends and relatives. One person spoke with us about their work placement and going regularly to church which was important to them.

Is the service well-led?

Staff had a good understanding of the ethos of the organisation.

Quality monitoring processes were in place to ensure the service continually monitors progress and improvement.

The home completed various audits throughout the year, which contributed to an annual audit. An action plan had been produced to address any areas of concern raised through all of the audit and feedback processes.

Inspection carried out on 10 October 2013

During a routine inspection

We spoke with two relatives and one person who lived at the home who told us they were happy with the home. One relative told us that their relative: �called the place their home� and one person told us �I am happy here everything is fine.�

We looked at the people�s care records and found they provided assessments and clear guidelines for the staff to enable them to support the people in their care.

All the relatives and people we spoke with told us they were part of the care planning process and they regularly attended care reviews and best interest meetings. We found that all staff we spoke with were knowledgeable about the Mental Capacity Act (2005) and the issues of consent and had received training.

We found that the home managed medicines appropriately and had systems in place to ensure the secure storage and safe administration of medicines.

We found the home was of a suitable design and layout for the needs of the people at the home and that it was warm, clean and secure.

We saw the home had a complaints procedure which was accessible to the people at the home. One person told us that when they had raised concerns they had been dealt with to their satisfaction.

Inspection carried out on 22 January 2013

During a routine inspection

All the people were at home when we visited 86 Allport Road. They said "I like living here, it's great", "I go to work", "I can eat when I want" and "If I want to I can just sit quietly". We found that people had choices and were encouraged to make decisions.

We saw that there were easy methods of communication around the house including a wellbeing board and a help board to encourage people to communicate when they felt unable to talk. Each person also had a picture activity diary and there was a board for pictures of staff and visitors. People were encouraged to ask for help when required.

We found staff speaking to people and caring for them in a respectful and inclusive manner. People were involved in their care planning and had regular reviews. The people who lived at Allport Road went out every day to Community Vocational Services

(CVS) and one of them went to work twice a week.

We looked at three care records and found that they provided clear guidance on the assessment, care and support planning for each person in the house. We spoke to staff about peoples care and found that the records reflected what we were told and that

information was up to date.

We spoke to the Registered Manager, the team leader and two members of staff. One member of staff told us "I have worked here for ten years and I have watched these people become more independent every day". People are encouraged to be as independent as possible.

Inspection carried out on 31 October 2011

During a routine inspection

Limited information was obtained from the people using the service due to communication difficulties. However, they said they liked living at the home and the staff were very kind. One person said �I like my home, I�ve been here for a long time and the staff are great.� Another person said �The staff are good, they help me with things.� Both of the people using the service said they would speak to the staff if they were unhappy and wanted to make a complaint.

Staff interacted with the people using the service in a warm and friendly way and the people using the service were clearly comfortable in their company.

Relatives of the people using the service said they are happy with the care and support provided to their relatives. One person said, �The staff are very good, I have been invited to all the care plan reviews so I�m up to date with what�s going on� and �Staff have a good attitude.� Another person said, �I�m very happy with the care provided. Staff are always up to date with my relative�s care needs. My relative�s key worker is very helpful.� And �I have never seen any signs of abuse or neglect.�