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Foresight Residential Limited - 14 Otley Road Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 5 December 2019

About the service

Otley Road is a residential care home providing accommodation and personal care. The home accommodates up to13 people in one individual adapted building. At the time of our inspection 10 people with learning disabilities were living at the home.

The principles and values of Registering the Right Support and other best practice guidance ensure people with a learning disability and or autism who use a service can live as full a life as possible and achieve the best outcomes that include control, choice and independence. At this inspection the provider had not always consistently applied them.

Otley Road is one large house, bigger than most domestic style properties. It is registered for the support of up to 13 people. 10 people were using the service. This is larger than current best practice guidance. However, the size of the service did not have a negative impact on people. This was because the building design fitted into the local residential area. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going out with people.

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

We received positive feedback from people and their relatives. People were happy living at Otley Road. They told us they felt safe, were kept busy doing the things they liked, and we observed positive interactions between people and staff.

People were not always protected from potential risks, a fire exit was used to store broken equipment, keys to cupboards containing cleaning materials that could be hazardous were in easy reach and a blocked off balcony was open.

Audits and monitoring systems were not always used effectively to manage the service and make the improvements required. Health and safety checks were in place, however they failed to address the safety issues found on inspection.

Care plans were in place but were not always person centred. People did receive personalised support and staff knew people well, but this wasn’t reflected in their care plans, especially around communication.

People had ‘pen portraits’ (a profile of the person) that listed all people’s problems and background. People didn’t have any personal goals or outcomes in place. We have made a recommendation that these needed to be improved.

Medicines were managed well, safely administered and recorded accurately. Liquid medicines were not always labelled with opening dates. Medicines that were ‘as and when required’ had clear instructions in place but no records to show if they had been effective. We have made a recommendation that these issues need to be improved.

The environment lacked homely features with a staff office space in the hallway. A staff announcement information board and personal protective equipment were on display in the dining room, primarily for staff convenience as opposed to people’s preferences. We have made a recommendation that this needs to be improved.

There were enough staff to support people and staff were always visible.

People and staff spoke positively about the registered managers.

Staff received support and a variety of appropriate training to meet people’s needs.

Individualised risk assessments were in place. Staff were confident to raise concerns appropriately to safeguard people.

Robust recruitment and selection procedures ensured suitable staff were employed.

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.

People were supported to have enough to eat and drink.

Appropriate healthcare professionals were included in people’s care and support as and when this was needed.

There were systems in place for communicating with staff, people and their relati

Inspection areas

Safe

Requires improvement

Updated 5 December 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 5 December 2019

The service was effective.

Details are in our safe findings below.

Caring

Good

Updated 5 December 2019

The service was caring.

Details are in our safe findings below.

Responsive

Requires improvement

Updated 5 December 2019

The service was not always responsive.

Details are in our safe findings below.

Well-led

Requires improvement

Updated 5 December 2019

The service was not always well led.

Details are in our safe findings below.