All inspections: Richardson Partnership for Care - 23 Duston Road

People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided and both were looked at during this inspection.

The Richardson Partnership for Care – 23 Duston Road provides accommodation and care for up to 10 younger adults, including people with learning disabilities and acquired brain injury. Respite care is also part of the service provided. There were nine people in residence, including one person receiving respite care, when we inspected.

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 met all relevant fundamental standards related to staff recruitment, training and the care people received. People’s care was regularly reviewed with them so they received the timely care they needed. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staff were friendly, kind and compassionate. They had insight into people’s capabilities and aspirations. They respected people's diverse individual preferences for the way they liked to receive their care and participate in activities they enjoyed.

People’s healthcare needs met. They had access to community based healthcare professionals, such as GP’s and nurses, and had regular check-ups. They received timely medical attention when needed. Medicines were safely managed.

People were supported to have a balanced diet and they had enough to eat and drink. They said the meals were enjoyable with plenty of choices to suit their tastes.

The provider and registered manager led staff by example and enabled the staff team to deliver individualised care that consistently achieved good outcomes for all people using the service. There were arrangements in place for the service to make sure that action was taken and lessons learned when things went wrong so that the quality of care across the service was improved.

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This inspection took place on the 29 January 2016 and was unannounced. The service is registered to provide accommodation for up to 10 people who require personal. The service caters for people with learning difficulties and acquired brain injury. At the time of our inspection there were 10 people living there.

There was a registered manager in post at the time of our inspection. 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.

Systems were in place to ensure people were protected from abuse; staff had received training and were aware of their responsibilities in raising any concerns about people’s welfare. There were formal systems in place to assess people’s capacity for decision making under the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards (DoLS).

The provider had robust recruitment systems in place; which included appropriate checks on the suitability of new staff to work in the home. Staff received thorough induction training to ensure they had the skills to fulfil their roles and responsibilities. There were enough suitably skilled staff available to meet people’s needs.

People’s care was planned to ensure they received the individual support that they required to maintain their health, safety, independence, mobility and nutrition. People received support that maintained their privacy and dignity and systems were in place to ensure people received their medicines as and when they required them. People had opportunities to participate in the organised activities that were taking place in the home and were able to be involved in making decisions about their care.

There was a stable management team and effective systems in place to assess the quality of service provided.

Many of the people who lived at 23 Duston Road were limited in their ability to recall or express their views. In these circumstances observation was used to inform the inspection process.

We spoke with two people during our inspection at 23 Duston Road, both told us staff involved them in decisions about their care and explained their care needs to them before carrying out any procedures.

They also told us they were well cared for and the staff knew the care they needed and how they wished to be supported. One person said 'the care is good here, we are well looked after'. Another person said 'the staff know how I need to be supported'.

People told us they thought the staff had the right skills to care for them safely. Both people told us the staff were kind to them, that they felt safe and knew how to complain if they needed to.

There were seven people living at '23 Duston Road' although two people were out and engaged in community activities when we inspected.

The people we spoke with told us they were happy living at '23 Duston Road'. They said they liked the staff. They described the staff as friendly and helpful.

People told us they were encouraged to do whatever they could for themselves and this meant they retained their sense of independence. They also confirmed that they had received the care, support and encouragement from staff they needed to help them manage their day. They said they felt safe at '23 Duston Road'.

People said they enjoyed their meals and always had enough to eat and drink. They said they were involved in choosing the menu and regularly had their favourite meals.

We were told that staff encouraged people to personalise their bedroom with their belongings. One person commented, "I keep my room the way I like." This person also told us they were happy with their bedroom and liked where it was in the house.

These older reports are from our old approaches to inspection, including those from before CQC was created.

Archived: Richardson Partnership for Care - 23 Duston Road

All Inspections

16 February 2018

During a routine inspection

29 January 2016

During a routine inspection

9 July 2013

During a routine inspection

28 June 2012

During a routine inspection

Reports under our old system of regulation