Salisbury Terrace is a small home registered to provide accommodation with personal care for three people. The home is operated by Autism Initiatives, a charity that specialises in supporting people with autism.
The house is rented from Liverpool Housing Trust and is a four bedroom terraced property with accommodation over three floors. Located in a residential area of Wavertree, the house fits in with neighbouring properties and is in keeping with the principle of supporting people to live ordinary lifestyles in their local community. Shared space includes a lounge, dining kitchen, shower room and bathroom. Outside there is an enclosed back garden with some parking available on-street at the front of the house. The people living at the home have a bedroom of their own with the fourth bedroom used as an office and sleep-in room for staff.
This was an unannounced inspection carried out on 13 April 2015. During the inspection we met with the three people who lived at the home and spoke with three members of staff. We also spoke with the 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. Following the inspection we spoke with relatives of two of the people who lived at the home.
We last inspected the home in November 2013. At that inspection we looked at the support people received with meals and their care and welfare. We also looked at the premises, staffing and record keeping. We found that the provider had met regulations in these areas.
The home met the requirements of the Mental Capacity Act 2005 (MCA) and associated Deprivation of Liberty Safeguards (DoLS).
People living at Salisbury Terrace appeared comfortable with the staff team and in their environment. Relatives told us they were happy with the support people received and felt they were happy and safe living there.
Care plans contained comprehensive information to inform staff about people's support needs. This included information about their health, personal goals and how they communicated.
People were supported to choose their meals and were involved in planning, shopping for and preparing their food and drink.
Medication practices at the home were safe. Medication was stored safely and people received their medication as prescribed and on time.
Staff knew how to identify and report any potential incidents of abuse. No referrals for safeguarding adults investigations had occurred since our last inspection in November 2013. A clear procedure was in place for dealing with complaints and relatives told us they would feel comfortable raising any concerns they had.
A system was in place for recruiting new staff to work for the organisation. This included carrying out checks to help ensure the person was suitable to work with people who may be vulnerable.
There was a stable staff team working at Salisbury Terrace who knew the people living there well. Sufficient staff worked at the home to support people with their daily lives.
Staff had received the support and training they needed to support people safely and well.
Quality assurance systems were in place to assess the quality of the service provided and identify area for improvement.
Records were stored safely and were up to date.