The Care Quality Commission
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Archived: Choice Support - 5 Bowley Close

Overall: Good read more about inspection ratings

5 Bowley Close, London, SE19 1SZ (020) 8670 8662

Provided and run by:
Choice Support

Important: The provider of this service changed. See new profile

All Inspections

16 January 2017

During a routine inspection

Choice Support – 5 Bowley Close provides accommodation and support for up to four people who have autistic spectrum disorders and learning disabilities. At the time of our inspection there were three people living at the service.

The service had 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 received safe care and support. Staff understood the types of abuse which could happen to people and their responsibility to report any concerns to keep them safe. Appropriate procedures for safeguarding adults from abuse were in place. Staff assessed risks to people and had support plans in place to keep them as safe as possible. There were sufficient staff on duty to meet people’s needs.

The service had systems in place to ensure that people were protected from risks associated with their health. Assessments contained guidance for staff on how to reduce the identified risks to protect people from harm. Accidents and incidents were recorded and monitored to identify how to reduce the risk of a recurrence. People received support to take their medicines. Medicines were managed safely.

Staff had the skills and knowledge they required to undertake their role. Staff received relevant training as well as regular supervision and appraisal to support them in their role.

Staff treated people with kindness, compassion, dignity and respect. We saw positive and friendly interactions between staff and people. People and their relatives were involved in planning care and had input into review meetings.

People were supported to eat and drink. Staff were aware of people's dietary needs and their likes and dislikes. People were supported to meet their health needs effectively and to maintain a healthy lifestyle.

Staff had an understanding of the systems in place to protect people who could not make decisions about their care needs. Assessments of people’s capacity were carried out where necessary. Staff supported people in line with the requirements of the Mental Capacity Act 2005. We have made a recommendation on the Deprivation of Liberty Safeguards to ensure authorisations.

People received individualised support that met their needs. Care plans were person centred and reflected individual's preferences. There was a complaints procedure as well as an accident and incident reporting. People using the service, relatives and staff said the registered manager was approachable and supportive.

Staff felt supported in their role to provide care to people. People and staff felt able to speak with the registered manager and provided feedback on the service. The registered manager undertook checks on the quality of the service and made improvements when necessary.

The registered manager worked in partnership with healthcare professionals to ensure people received the support they needed.

03/07/2014

During a routine inspection

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 and to pilot a new inspection process being introduced by CQC which looks at the overall quality of the service.

Choice Support – 5 Bowley Close is a care home for up to four people with learning disabilities. The previous CQC inspection of the service took place on 13 June 2013 when it was found to meet the required standards in the areas we inspected. This inspection, which was carried out by one inspector, was unannounced. During the inspection we met three people who were using the service. They had all lived in the home for over eight years. The registered manager had been in post since April 2011. A registered manager is a person who has registered with the Care Quality Commission to manage the service and has the legal responsibility for meeting the requirements of the law; as does the provider.

People who lived in the home received a good quality service. The people living at the home were unable to speak to us about their experience of it due to their communication needs. During the inspection people were supported by staff to follow their interests. We observed that people were treated with kindness and consideration by staff. People were provided with a nutritious meal and were supported by staff in the meal time period.

A person’s relative, a local authority social worker and a local authority commissioner gave us information on the quality of the service. They all told us the registered manager and the staff group were very knowledgeable and experienced and were very committed to meeting people’s individual needs. People received effective support with their health needs. The service had worked in partnership with a range of health professionals to ensure that people’s care and treatment needs were met.

Staff understood, and it was evident from people’s records, that they put into practice the legal requirements of the Mental Capacity Act 2005 in relation to people’s decision making. People received appropriate support to understand information and make decisions. Social care and health professionals and relatives were involved in making ‘best interests’ decisions when a person lacked the mental capacity to make a decision them self. We confirmed that no one in the service was subject to any restriction of their liberty. Staff understood the steps to follow in order to comply with the Deprivation of Liberty Safeguards (DoLS).

Records showed that, in the week prior to our inspection, people had gone to a wide range of activities of their choice which reflected their individual interests. We saw that staff followed guidelines on how to effectively communicate with people and used a range of techniques to ensure people could make decisions about how they were supported. Staff had received safeguarding training and fully understood how to reduce the risk of harm and keep people safe.

Any risks to people had been regularly assessed and managed. There were effective plans in place to minimise the risk of harm.

Management arrangements were effective. Staff told us the provider obtained their views about how the service operated and made regular checks on its quality. When issues were identified for improvement there was appropriate follow up.

3 July 2013

During a routine inspection

The three people living at the service had significant communication needs, which staff understood and responded to appropriately in providing their care and support. We observed staff treating people in a calm and considerate manner and there was a pleasant and relaxed atmosphere in the home during our visit.

Individual support agreements were in place for people using the service which addressed their care and support needs.

The service worked in partnership with other providers to ensure people's health, safety and welfare needs were met.

There were appropriate arrangements in place for the safe administration of medicines.

Effective recruitment and selection processes were in place, with appropriate pre-employment checks being carried out.

There was a process in place for dealing with complaints and this was in an accessible format for people using the service.