Archived: Richardson Partnership for Care - 144 Boughton Green Road

Richardson Partnership for Care 144 Boughton Green Road is residential care home providing personal care and support for younger adults with acquired brain injury. The service is registered to support up to 15 people, and at the time of inspection 13 people were living at the service. The accommodation is a converted residential property, adapted with facilities to support people with disability.

People’s experience of using this service and what we found

The providers systems and processes in place for oversight of the service were not carried out consistently or robustly enough to monitor or improve quality of the service. These had not identified the issues we found during the inspection related to care plans and medicine management.

Staff had awareness how to effectively support people to make decisions about their care. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way and in their best interests; however, the systems in the service did not always support this practice. The provider had not evidenced Best Interest meetings had taken place where people did not have capacity to make decisions about their care or treatment. This had been identified prior to our inspection and the service manager told us actions were being undertaken to improve this.

Staff had a good knowledge and understanding of the needs for people they cared for. However, systems in place were not effective in ensuring the information in care records were consistent or updated in line with the current care being provided.

People were safe and staff knew how to keep them safe from harm. Staff were appropriately recruited and there were enough staff to provide care and support to meet people’s needs.

People were supported by staff that had received an appropriate induction and training to enable them to fulfil their role. Staff told us additional training was also provided as required to meet specific needs of people using the service, and to encourage staff to develop and progress themselves within the company. Staff felt supported by the management team and received regular supervisions and appraisals.

Staff demonstrated a person-centred approach. People were cared for by staff that were kind, caring and treated them with privacy, respect and dignity.

Staff promoted social inclusion, equality and diversity for people using the service. People were supported to maintain relationships important to them and had support to access to the wider community.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (report published 28 April 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified a breach in relation to good governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality within the service. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

At the time of inspection there were 14 people in residence being supported. At the last inspection in March 2015, the service was rated ‘Good’ and at this inspection we found the service remained a ‘Good’ 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 continued to receive safe care. People were consistently protected from the risks of harm; staff knew how to manage risks, whilst promoting people's rights to take risks. Staff were appropriately recruited and there were enough staff to provide care and support so that people felt safe in the home. Staffing levels were kept under review to ensure that people’s needs were met in timely way. Staff understood their responsibilities to safeguard people and knew how to respond if they had any concerns. The medicines administration systems ensured people consistently received their medicines safely from staff that had received the appropriate training.

The care that people received continued to be effective. People had enough to eat and drink and enjoyed a varied and nutritious diet. The staff support, training and professional development systems ensured staff had the right skills, knowledge and experience to effectively meet people’s needs on a daily and long term basis.

People had detailed personalised plans of care in place to inform and enable staff to provide consistent care and support. There were positive relationships between people using the service and the staff. The staff were caring and treated people with respect, kindness and compassion. They had a good understanding of each person’s complex support needs. People were enabled to make choices about the way in which their care and support was provided. They were supported to access the wider community, and maintain contact with family and friends.

People knew how to raise a concern or make a complaint and the provider responded appropriately to any concerns or complaints. There were systems in place to monitor the quality and standard of the service. Timely action was taken to address any shortfalls and make improvements. The registered manager was readily approachable by staff and service users alike for guidance and support.

We spoke with four people who used this service, they told us staff explained their individual care needs to them and they were asked for their consent before staff provided any care.

People also said they were well looked after and the staff knew how they needed and wished to be supported. They told us staff were kind to them and they felt safe in their care.

We saw people were comfortable and relaxed within their environment and they looked well cared for. We saw that staff were responsive to people's needs and supported them with kindness when they became distressed.

The people we spoke with told us that they liked living at 144 Boughton Green Road. One person told us 'it's a nice place and clean'. They said the staff were good and helped them when they needed their support. Another person told us that they had house meetings and discussed activities, menus, and any other issues about their care or the running of the home. They said they were all aware of how to make a complaint to staff if they were not happy about anything. All the people told us that they had theme nights and take away food, which they choose and enjoyed.