All inspections: Care Management Group - 31 Bushey Hall Road

Care Management Group – 31 Bushey Hall Road provides accommodation, care and support for up to five people with a learning disability. Some people may have a diagnosis of autistic spectrum disorder. At the time of our inspection there were five people living at the service.

At the last inspection in October 2015, the service was rated Good.

At this inspection we found the service remained Good.

The service has 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.

People felt safe. Staff were knowledgeable and understood their responsibilities with regards to safeguarding people. They had received effective safeguarding training.

There were sufficient numbers of staff on duty to meet people's needs. Safe recruitment processes were in place and had been followed to ensure that staff were suitable for the role they had been appointed to prior to commencing work.

Staff were knowledgeable and felt supported in their roles. They received regular supervisions and an ongoing programme of training and development was available to them. Staff were positive about the training they received.

People were involved in deciding in which way their care was provided. Each person had a detailed care plan which took account of their individual needs, preferences and choices. Risks to people’s health, safety and wellbeing had been identified and personalised risk assessments were completed. All care plans and risk assessments had been regularly reviewed to ensure that they were reflective of people's current needs.

People were supported to make decisions about their care and support. Decisions made on behalf of people were in line with the principles of the Mental Capacity Act 2005 (MCA) and the associated Deprivation of Liberty Safeguards (DoLS). Consent was gained from people before any support was provided.

People accessed the services of health and care professionals to maintain their health and wellbeing. Care plans detailed people’s needs in relation to their health and the support required from the service. People received their medicines as prescribed. There were effective systems in place for the safe storage and management of medicine and regular audits were completed.

Positive relationships had developed between people and staff. Staff were supportive, friendly and respectful. People's privacy and dignity was promoted throughout their care. Staff knew people's needs and preferences and provided encouragement when supporting them. People were supported to participate in meaningful activities and a wide variety was available.

People and staff found the registered manager supportive and approachable and spoke highly of their ability to manage the service. People felt listened to and that staff were responsive to any concerns or complaints that they may have. Quality monitoring systems and processes were used effectively to drive improvements in the service and identify where action needed to be taken.

Further information is in the detailed findings below.

The inspection took place on the 27 October 2015 and was unannounced. We last inspected the service in August 2013 and had found them to be meeting each of the standards we assessed.

The service provides accommodation and personal care for up to five people with learning disabilities and autism. There were five people using the service at the time of our inspection.

There was a Registered Manager in post. 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 & Social Care Act and associated regulations about how the service is run.

People were kept safe. Risk assessments had been completed to ensure that staff were able to keep people using the service safe. Medicines were managed safely. Recruitment processes ensured that staff were employed safely and the service employed enough staff to meet people’s needs.

Staff were dedicated and knew the people using the service well. The service promoted people’s involvement in everything that happened within the home and had an open and inclusive culture. People we spoke with were positive about the care and support they received.

People’s support plans were personalised and met their individual needs. The service listened and responded to feedback from people and ensured that changing needs were identified and met.

Staff, relatives and people using the service told us that the management of the service was very good. The service had systems in place to assess the quality of the service provided. There was a positive culture in the service that gave staff opportunities for development.

We found that people's views and options were taken into account and their independence was respected and encouraged. We saw that care plans provided clear information for staff to be able to care for people. Risk assessments looked at individual risk and entailed how staff could reduce any risk to people. .

Staff had all been trained in safeguarding of vulnerable people and the home had a safeguarding policy and procedure in place. There was an effective complaints policy and procedure in place

People told us that they were happy living at the home and that staff were kind, friendly and supportive. However we found that some staff had worked excessive hours on occassions due to staff shortages.

We had the opportunity to speak with the people who lived at the property and one family member as well as the staff. We heard comments and read feedback in respect to the quality of care given and how families believed that the home is a valuable part of the men's lives. One parent described her "Pleasure in seeing her son change and become a young adult in a positive way". The people felt that the service respected them, they had choices and their care needs were met by people being involved in decision making. A person who lived at the house made it clear that "This was his home and he wanted to stay". The staff group was a stable group and some had been in post for four years. The staff that we had spoken with were happy in their work and felt well supported by internal and external management. A quality assurance system was seen to be in place with regular reviews completed. It was evident that the complex behavioural and health needs of the five men in the house was the key focus for the staff team and the organisation. Two people had told us that "They liked the other people they lived with and enjoyed living here".

People living in 31 Bushey Hall Road told us they were supported to do anything they chose to do. They gave us examples of learning to drive and enjoying a break at a holiday park.

People living in the home told us they enjoyed spending time out of the service, going on trips and going out for meals. We saw evidence of this in people's care files.

People using the service told us they thought the staff that supported them were nice.

Archived: Care Management Group - 31 Bushey Hall Road

All Inspections

18 October 2017

During a routine inspection

27 October 2015

During a routine inspection

6 August 2013

During a routine inspection

29 November 2012

During a routine inspection

6 March 2012

During a routine inspection