Background to this inspection
Updated
15 October 2015
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 26 August 2015 and 1 September 2015 and was unannounced.
The inspection team consisted of one inspector.
Before the inspection the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the information included in the PIR along with information we held about the home. This included notifications that we had received from the provider about events that had happened at the service. For example, serious injuries and safeguarding concerns.
We spoke with three people, two relatives and four care staff and the registered manager. We observed care and support in communal areas and also looked around the home.
We viewed two records about people’s care and records that showed how the home was managed. We also viewed two people’s medication records.
Updated
15 October 2015
We inspected 63 Junction Road on 26 August and 1 September 2015, which was unannounced.
63 Junction Road is registered to provide accommodation and personal care for up to five people. People who use the service predominately had a learning disability. At the time of our inspection there were five people who used the service.
The service had a registered manager in post. 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 and associated Regulations about how the service is run.
People’s risks were assessed in a way that kept them safe whilst promoting their independence. People were kept safe because staff understood people’s individual risks and provided support whilst taking action to lower the possible risk of harm to people.
People who used the service received their medicines safely. Systems were in place that ensured people were protected from risks associated with medicines management.
We found that there were enough suitably qualified staff available to meet people’s needs in a timely manner. The registered manager made changes to staffing when people’s needs changed.
Staff were trained to carry out their role and the provider had safe recruitment procedures that ensured people were supported by suitable staff.
Staff had a good knowledge of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). The MCA and the DoLS set out the requirements that ensure where appropriate decisions are made in people’s best interests where they are unable to do this for themselves. People’s capacity had been assessed and staff knew how to support people in a way that was in their best interests.
People told us and we saw staff were kind and compassionate with people. We saw staff treated people with respect, gave choices and listened to what people wanted.
People’s preferences in care were recorded throughout the care plans and we saw that people were supported to be involved in hobbies and interests that were important to them.
The provider had a complaints procedure that was available to people in a format that they understood.
Staff told us that the registered manager was approachable and led the team well. The registered manager and staff all had clear values and were passionate about their role and what their support meant for people.
People, relatives and staff were encouraged to be involved in the improvement of the service and action was taken to make improvements from feedback received. The registered manager had systems in place to assess and monitor the quality of the service provided.