Background to this inspection
Updated
1 May 2018
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 22 March 2018 and was unannounced. The inspection was undertaken by one inspector and an assistant inspector.
Before the inspection, we asked the provider to complete 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 reviewed the information available to us about the service such as information from the local authority, information received about the service and notifications. A notification is information about important events which the provider is required to send us.
During the inspection we spoke with two people who used the service, one care worker, and the registered manager. We received feedback from commissioners. We requested feedback from family and relatives but had not received any at the time of writing this report.
We used the Short Observation Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed care plans risk assessments for two people who lived at the service. We looked at staff recruitment records and staff rotas. We reviewed staff training records. We looked at quality assurance documents to see how the service was monitored and improvements made.
Updated
1 May 2018
This inspection took place on 22 March 2018 and was unannounced. One inspector and an assistant inspector undertook the inspection.
Kyros - 2 Upper Lattimore Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Kyros - 2 Upper Lattimore Road can accommodate up to a maximum of six people. On the day of our inspection, there were six people living at the service.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
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.
Why the service is rated Good
People were protected from the risk of harm. Staff had received safeguarding training and there were effective safeguarding procedures in place.
Individual risks associated with people’s care and support had been identified and risk assessments were in place to help manage these effectively. Risk assessments provided staff with detailed information on how to mitigate risks where possible.
There were effective systems in place for the safe storage and management of medicine. People received their medicines safely. Regular audits were undertaken as part of the providers overall monitoring of the service.
Safe recruitment practices were followed to help ensure potential staff were of good character. There were sufficient numbers of staff deployed to meet people's needs in a timely way.
Staff received regular support which included individual supervisions and team meetings. Staff felt supported in their roles. Staff completed an induction when they commenced work at the service and had access to a range of on-going training. Staff were positive about the training they received.
Consent was obtained from people before any care or support was provided and this was recorded and kept under review. The provider and registered manager worked in line with the principles of the Mental Capacity Act 2005 (MCA) and the associated Deprivation of Liberty Safeguards (DoLS).
People interacted well with both staff and the registered manager and appeared comfortable and relaxed throughout our observations. Staff were positive about their work and had clear roles and responsibilities. People's privacy and dignity were respected.
People received care and support which was individualised. People had been involved with the development and review of their care plans.
People were aware of how to raise concerns through an effective complaints procedure. Staff were responsive to people's comments and feedback.
The registered manager operated and promoted an open and transparent culture. Staff felt their views were taken into account about how the service operated.
Quality monitoring systems and processes were in place to monitor the service and identify where improvements were required. People and stakeholders were asked to give feedback through completion of an independent survey, which had been analysed, and recommendations were in place to help make continual improvements.
Further information is in the detailed findings below.