Background to this inspection
Updated
13 December 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 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 comprehensive inspection took place on 30 October 2017 and was unannounced.
Before the inspection, the provider completed a Provider Information Return (PIR). 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 also reviewed information we held about the service. This included any safeguarding information, complaints and notifications that the provider had sent to CQC. Notifications are information about important events which the service is required to tell us about by law.
This inspection was carried out by one inspector. We spoke with three people using the service, the registered manager and four members of staff. Due to their communication needs, other people living at the home were unable to share their direct views and experiences. We observed the interactions between staff and people and reviewed care records for three people.
We looked around the premises and checked records for the management of the service including quality assurance audits and checks, meeting minutes and health and safety records. We checked recruitment records for one member of staff and information about staffing levels, training and supervision. We also reviewed how medicines were managed and the records relating to this.
Following our inspection visit, the registered manager sent us quality assurance information we had requested. We also contacted two professionals involved with the service to obtain their views about the care provided. They agreed for us to use their feedback and comments in our report.
Updated
13 December 2017
This inspection took place on the 30 October 2017 and was unannounced.
95 Parchmore Road is a residential care home that provides accommodation and personal support for up to five adults with a learning disability. There were five men using the service at the time of our inspection.
At the last inspection, the service was rated Good. At this inspection we found the service remained Good. The registered provider demonstrated they continued to meet the regulations and fundamental standards.
People continued to feel safe and well cared for at the service. Risks relating to people's care and support had been assessed and minimised as far as possible. Detailed behaviour plans were in place for people whose actions were assessed as being a risk to themselves and others. Staff completed relevant training on how to support people positively with their behaviours. Staff knew how to recognise and report any concerns they had about people’s care and welfare and how to protect them from abuse.
There were enough staff to support people and the provider followed safe recruitment practice to employ suitable staff. People received effective care and support with their needs because staff received ongoing training to keep their knowledge and skills up to date.
People continued to live in a home that was kept clean and well maintained. Regular checks were carried out on the environment and equipment to ensure it was safe and fit for use.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People were encouraged to be independent and staff respected their privacy and dignity.
Staff knew people well and how they preferred to be supported. Care plans provided comprehensive information about people's care needs, their likes, dislikes and preferences. People were supported to express their views and were involved in making decisions about their care. Staff understood the different ways people communicated and used communications tools to support their involvement in care planning.
People enjoyed varied social and leisure opportunities that interested them. Staff worked flexibly to support people with their preferred interests, activities and hobbies. The service promoted and supported people's contact with their families and friends. People and relatives were encouraged to share their views and opinions of the service. Arrangements to deal with complaints were in place should they arise.
People were supported to keep healthy and their nutritional needs and preferences were met. Any changes to their health or wellbeing or accidents and incidents were responded to quickly. Referrals were made to other professionals as necessary to help keep people safe and well. People received their medicines safely and when they needed them.
There was an established registered manager who continued to provide effective leadership. The management of the home was open and transparent. Staff understood their roles and responsibilities and followed the provider’s values when supporting people.
The provider used effective systems to monitor the quality and safety of the service and had ongoing plans for improving the service people received. Where improvements were needed or lessons learnt, action was taken. Feedback from people who used the service, relatives, and staff was used to improve their experience.
Further information is in the detailed findings below