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Phoenix House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 19 March 2020

About the service

Phoenix House is a residential care home providing personal care to seven people who are living with a learning disability at the time of the inspection.

Phoenix House accommodates seven people in one adapted building over two floors.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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

The service was not well managed, and the registered manager lacked oversight of staff training, recruitment processes, medicines management and there was not a system in place to monitor the quality of the service.

Risks had not all been identified and minimised to ensure people were kept safe. Staff had not received regular training to ensure their skills and practice was being kept up to date.

There were enough staff available to ensure people’s needs were met at all times. Staff had time to support people with their interests and activities.

Staff did not have clear guidance in place that detailed what medicines people were prescribed and to ensure they were administered in line with the prescriber’s instructions. We have made a recommendation to seek further guidance from National Institute of clinical Excellence (NICE) in managing medicines in care homes.

Care plans did not all provide enough guidance to ensure staff had the detail one how to provide care and support to people in line with their needs and choices. We have made a recommendation to seek further guidance from NICE on best practice.

People were supported to have maximum choice and control of their lives and staff did support them in the least restrictive way possible and in their best interests; although the policies and systems in the service were limited.

Staff felt well supported although they had not received any refresher and up to date training.

Staff were caring in the way they supported people with their needs.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

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 (published 4 April 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified three breaches in relation to medicine management, recruitment and good governance at this inspection.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. 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.

Inspection areas

Safe

Requires improvement

Updated 19 March 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 19 March 2020

The service was not always effective.

Details are in our effective findings below

Caring

Requires improvement

Updated 19 March 2020

The service was not always caring.

Details are in our caring findings below

Responsive

Requires improvement

Updated 19 March 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 19 March 2020

The service was not always well-led.

Details are in our well-Led findings below.