Archived: SENSE - 79 Coriander Close

Updated 27 May 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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 comprehensive inspection took place on 10 May 2017 and was unannounced. The inspection was undertaken by one inspector over one day. As part of the inspection we looked at information we already had about the provider. Providers are required to notify the Care Quality Commission about specific events and incidents that occur including serious injuries to people receiving care. We refer to these as notifications. Before the inspection, the provider had completed a Provider Information Return (PIR) and returned this to us within the timescale requested. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the information from notifications and the PIR to plan the areas we wanted to focus our inspection on. We contacted the people who commission services from the home and contacted the local Healthwatch to seek their feedback. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

We visited the home and met two of the people currently living at the home. Both people were unable to speak with us due to their level of learning disability and sensory impairment. We spent time in communal areas observing how care was delivered to help us to understand the experience of people who could not talk with us.

During our inspection we looked at parts of two people’s care plans. We looked at the systems in place to check medicines were managed and administered safely. We looked at the recruitment records of two staff. We looked at the checks and audits undertaken by the registered manager and registered provider to ensure the service provided was meeting people’s needs and the requirements of the law. We spoke with three relatives of people living at the home. We spoke with three members of staff, the deputy manager and the registered manager.

Updated 27 May 2017

79 Coriander Close is a care home for up to three people who have a learning disability and sensory impairment. At the time of our inspection three people were living at this home.

At the last inspection on 19 March 2015 the service was rated Good.

At this inspection we judged that the service provided remained Good.

Why the service is rated Good.

People received the support they required to live a full and active life, while maintaining their safety and well- being. There were sufficient staff to meet people’s needs and the registered provider had established robust recruitment checks to ensure new staff were suitable to work in adult social care.

Risks relating to people’s healthcare needs and lifestyle had been assessed. Staff were aware of the support people needed in these areas, and we saw staff providing support that was consistent with these assessments.

All of the people who lived at the home required the support of staff to manage their medicines. Staff responsible for administering medicines had been trained and assessed to be competent. The systems to manage and check the medicines were robust.

Staff had received training and support to ensure they were aware of people’s needs and how to meet them. People received the help they required to maintain good health, to attend health appointments and have enough to eat and drink.

People were supported, as far as possible to have choice and staff supported people in the least restrictive ways possible. When restrictions on people’s liberty were necessary the registered manager had ensured the correct applications had been made to protect each person’s legal rights.

The staff we met knew people well, and were able to tell us about their needs and preferences. Staff had involved people that knew the person well and used their knowledge of the person to plan care that they felt was in the person’s best interest and best fitted their known preferences and wishes.

A range of activities and opportunities were provided each day that were tailored to each person’s needs and preferences. People had been supported to maintain links with people, places and activities that were important to them, and which they had enjoyed earlier in their life.

We received consistent feedback that the home was well run, and that the registered manager and deputy manager were supportive and promoted good practice.

The registered manager had stayed up to date with changes and developments in adult social care, and had ensured she had a good knowledge of the specific care needs that people living at this home experienced. The registered manager and registered provider had a wide range of checks and audits in place that ensured the on-going safety and quality of the service. These had been effective at providing assurances that the service remained good, and that the service was meeting people’s needs.