Background to this inspection
Updated
11 June 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The team consisted of two inspectors.
Service and service type: Support for Living Limited - 62 Rosemont Road is a care home that is registered to provide personal care and accommodation for up to three people, who have learning disabilities or autistic spectrum disorder.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
What we did:
Before the inspection we considered all the information we held about the service. This included the last inspection report. We looked at notifications from the provider. Notifications are for certain changes, events and incidents affecting the service or the people who use it that providers are required to notify us about.
On the first day of inspection we visited the home and we reviewed two people’s care records and sections of one other person’s care records. We looked at three people’s medicines administration records. We met with all three people using the service and spoke with one person who was able to speak with us. We observed staff interaction with people throughout the day. We undertook a partial check of the environment.
We spoke with the registered manager, the deputy manager, two care workers and one agency worker.
On the second day of inspection we visited Certitude offices and spoke with the head of human resources and reviewed three staff personnel records this included their recruitment documents.
Following our inspection, we spoke with two people’s relatives and a health care professional.
Updated
11 June 2019
About the service:
Support for Living Limited - 62 Rosemont Road is a care home that is registered to provide personal care and accommodation for up to three people, who have learning disabilities or autistic spectrum disorder. At the time of the inspection three people were using the service.
People’s experience of using this service:
A relative and a health care professional described staff as caring. Staff demonstrated they had a good understanding of people living at the home.
People received person centred care. They had individualised care plans that stated how they wanted their care provided. These contained background information to support staff to understand them in the context of their life.
There had been some changes to the staff team. Whilst agency staff who were familiar with the service were used, both staff and relatives felt the service would benefit from more permanent staff. The registered manager assessed staffing needs and was in the process of recruiting staff into vacant posts.
Staff received medicines training and refreshers to help ensure that people received their medicines in a safe manner.
The registered manager monitored incidents, accidents and daily records to ensure all safeguarding concerns were identified. Staff demonstrated they knew how to recognise and report safeguarding concerns.
Staff worked in line with the Mental Capacity Act 2005 (MCA) and demonstrated they gave people choice and offered people their known preferences. The registered manager had applied for authorisations under the Deprivation of Liberty Safeguards (DoLS) on behalf of people.
Staff had received induction training prior to commencing their post and subsequent refresher training after this.
Staff worked with health professionals to help ensure the best health outcomes for people.
There were checks and audits to help ensure the quality of the service people received. The registered manager had identified specific staff to be “champions,” of areas that included, nutrition and health and exercise and environment to improve people’s engagement and well-being.
Rating at last inspection: At the last comprehensive inspection on 27 September 2016 all the key questions were rated good and therefore the overall rating was good.
Why we inspected: This was a scheduled inspection based on previous rating of good.
Follow up: We will continue to monitor the service and will re-inspect based on the rating of good. We may re-inspect earlier if we receive concerns about the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk