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Care Management Group - 44 Albion Road Good

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Inspection report

Date of Inspection: 1 June 2012
Date of Publication: 11 July 2012
Inspection Report published 11 July 2012 PDF | 81.08 KB

Overview

Inspection carried out on 1 June 2012

During a routine inspection

Most of the people using this service could communicate with us in a meaningful way and told us what it was like to live at 44 Albion Road, although because of some peoples complex needs not everyone was able to vocalise their views about their home. Consequently, we used a number of different methods to gather evidence of people’s experiences in order to help us understand what it was like for people living at this home, which included: Speaking to people using the service and staff, reviewing care plans and other relevant records, and using the Short Observational Framework for Inspection (SOFI) tool to see how staff interacted with the people using the service. SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

The feedback we received from all the people using the service who we had a meaningful conversation with was on balance very complimentary about the standard of the care and support they received from staff that worked at this home. Typical comments we received from 2 people we spoke with, included: “Yes – I do like it here” and “I am happy at this home”.

During our visit we found evidence that showed us the provider had suitable arrangements in place to ensure the people using the service were involved in making informed decisions and choices about the care and support they received.

All the people using the service we spoke with about the choices available to them told us they were allowed to make some decisions about the care and support they were provided. For example, people we met confirmed that they could usually choose the times they got up and went to bed, what they ate, and the activities they joined in.

Furthermore, most people we met told us staff usually listened to them and that sometimes they could help run their home. Typical comments we received, included: “We sometimes have meetings to talk about food and holidays” and “I have got a key-worker who I always talk too. They are nice”.

We found evidence during our review that demonstrated the provider had suitable arrangements in place to ensure the privacy and dignity of people using the service was always respected. Throughout the course of our visit staff were observed interacting with people in a very kind, courteous and respectful manner. For example, we saw staff continually enquire about the wellbeing of all the people who were relaxing in the lounge at the time of our visit and whether or not anyone would like a hot or cold drink. During lunch we also observed a member of staff take their time to support a person who required assistance to eat their meal in a dignified and discreet way.

We found evidence during our review that demonstrated the provider had suitable arrangements in place to ensure the people using the service were actively encouraged and supported to do as much for themselves as they were willing and capable of doing so safely. We observed numerous examples of staff enthusiastically encouraging people participate in various household chores around their home, such as making themselves and/or their guests a hot drink, vacuuming the communal areas, and doing their own laundry.

We also observed staff supporting people to participate in a variety of in-house activities. During our visit most people when out with staff at one point or another to engage in various community based activities. One person we met told us staff sometimes took them on day trips to the coast, walking, and to college, and helped them do the garden.

However, the provider may find it useful to note that the registered manager and most of the staff we spoke with felt people using the service would have far greater opportunities to participate in more interesting and meaningful community based recreational and leisure activities if they had more staff working at busy times of the day. The registered manager told us the homes staffing levels were currently under review and a proposal to have an additional member of staff working at peak periods of activity was being considered by the provider.

Most people we spoke with told us they knew they had a care plan, which they had seen and often discussed with their designated key-worker.

We found clear evidence that showed us the provider had taken reasonable steps to ensure the people using the service are safeguarded against the risk of abuse and that any allegations of abuse, neglect or information of concern will always be responded to appropriately. All 5 people we spoke with about whether or not they felt safe living at this home told us they did.

We toured the home and found it to be accessible, adequately maintained, decorated to a reasonable standard, and clean. The comments we received from people using the service about the physical layout, interior design and furniture in their home was on the whole positive. One person we met told us their bedroom was: “Alright”.