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Allen and Whitworth UK Limited - 90 Perry Street Good

Reports


Inspection carried out on 3 October 2017

During a routine inspection

Allen and Whitworth UK Limited – 90 Perry Street provides support for up to three people with Learning Disabilities. At the time of the inspection there were three people living at the home. At the last inspection in October 2015, the service was rated Good. At this inspection we found that the service remained Good.

There was 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 2008 and associated Regulations about how the service is run.

People continued to receive care that was safe. We saw that staff had been appropriately recruited in to the service and security checks had taken place. There were enough staff to provide care and support to people to meet their needs. People were consistently protected from the risk of harm and received their prescribed medicines safely.

The care that people received continued to be effective. Staff had access to the support, supervision, training and on-going professional development that they required to work effectively in their roles. People were supported to maintain good health and nutrition .

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 support this practice.

People told us their relationships with staff were positive and caring. We saw that staff treated people with respect, kindness and courtesy. People had detailed personalised plans of care in place to enable staff to provide consistent care and support in line with people’s personal preferences.

People knew how to raise a concern or make a complaint and were confident that if they did, the management would respond to them appropriately. The provider had effective systems in place to manage complaints.

The service had a positive ethos and an open and honest culture. The registered manager and deputy manager were present and visible within the home.

Inspection carried out on 09 October 2015

During a routine inspection

This unannounced inspection took place on 09 October 2015. The home provides support for up to three people with mental health needs and learning disabilities. At the time of the inspection there were three people living at the home.

There was 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 2008 and associated Regulations about how the service is run.

At the last inspection in March 2015 we asked the provider to make improvements on medicine management systems. At this inspection we saw this had been completed.

People told us that they felt safe in the home. Staff understood the need to protect people from harm and abuse and knew what action they should take if they had any concerns. Staffing levels ensured that people received the support they required at the times they needed. We observed that on the day of our inspection there were sufficient staff on duty. The recruitment practice protected people from being cared for by staff that were unsuitable to work at the home.

Care records contained risk assessments to protect people from identified risks and help to keep them safe. They gave information for staff on the identified risk and informed staff on the measures to take to minimise any risks.

People were supported to take their medicines as prescribed. Records showed that medicines were obtained, stored, administered and disposed of safely. People were supported to maintain good health and had access to healthcare services when needed.

People were actively involved in decision about their care and support needs 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). People felt safe and there were clear lines of reporting safeguarding concerns to appropriate agencies and staff were knowledgeable about safeguarding adults.

Care plans were in place detailing how people wished to be supported and people were involved in making decisions about their care. People participated in a range of activities both in the home and in the community and received the support they needed to help them do this. People were able to choose where they spent their time and what they did. Pictorial formats of weekly timetables and medical appointments were in place.

Staff had good relationships with the people who lived at the home. Complaints were appropriately investigated and action was taken to make improvements to the service when this was found to be necessary. The registered manager was visible and accessible. Staff and people living in the home were confident that issues would be addressed and that any concerns they had would be listened to.

Inspection carried out on 25 March & 1 April 2015

During a routine inspection

This unannounced inspection took place on 25 March 2015. 90 Perry Street is registered to provide accommodation and personal care for up to three people, some of whom may have a learning disability or mental health diagnosis. There were three people living at the home at the time of this inspection.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

The service was not always safe.

Although people were receiving their medicines, the stock control and record keeping systems in place were disorganised and in need of improvement. There were discrepancies between the amount of medicine in the home and the available records, medicines needing disposal were not being safely managed and administration records were not accurate.

This was in breach of Regulation 13 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010, which corresponds to Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.

People were being protected against the risk of abuse; they felt safe and staff recognised the signs of abuse or neglect to look out for. They understood their role and responsibilities to report any concerns and were confident in doing so. Safe recruitment processes were in place and ensured that staff were suitable to work in the care home.

Staff had an in-depth understanding of the needs of people living in the home. They were supported through regular training, supervision and annual appraisal. They were confident in the management team and felt able to raise any concerns or ideas for improvement. Staffing levels were appropriate and safely able to meet the needs of people in the home.

People were actively involved in assessment and care planning processes. Their support needs, likes and lifestyle preferences had been carefully considered and were reflected within the care and support plans available. People were supported to be involved in work placements and day opportunities and were enabled to pursue their hobbies, interests and cultural beliefs.

Staff understood their responsibilities under the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards (DoLS) and people were consistently involved in making decisions and choices about their daily life and about their care and support needs.

Health action plans were in place and people had their physical and mental health needs regularly monitored. Regular reviews were held and people were supported to attend appointments with various health and social care professionals to ensure they received treatment and support as required.

There was an open culture in the home and the registered manager was very visible and active in the home. Quality and peoples experience was consistently monitored and swift action was taken to address any concerns or areas for improvement. People living in the home and their relatives knew how to make a complaint or raise a concern and were confident that these would be addressed.

Inspection carried out on 25 June 2013

During a routine inspection

We spoke with two out of the three people in residence at �90 Perry Street�. One person was out shopping when we arrived. The two people who spoke with us both said they were happy living at the home. They said �90 Perry Street� had been their home for a �long time�. According to their care records, all three people had been in residence for well over ten years. Both people we spoke with said they liked the staff and got on well with them. They also said that as a small group they were happy to live together.

We saw that the staff member on duty had a friendly relationship with all three people, treated them with respect, and took an interest in what they had been doing during the day. We saw that each person was relaxed in the presence of the staff member.

We saw the home to be comfortably furnished, clean, and well maintained.

Inspection carried out on 21 December 2012

During a routine inspection

We were able to meet with two people and they confirmed that they liked the staff and got on well with them. One person said, "I am very happy living here." We saw that the staff member on duty had a good relationship with all three people, treated them with respect, and took an interest in what they had been doing during the day.

We found 'Perry Street' to be well organised, comfortable, and appropriately maintained throughout. We saw that each person participated in various social activities and received the support and encouragement they needed to lead fulfilling lives.

Reports under our old system of regulation (including those from before CQC was created)