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Inspection report

Date of Inspection: 8 July 2014
Date of Publication: 11 September 2014
Inspection Report published 11 September 2014 PDF

Overview

Inspection carried out on 8 July 2014

During a routine inspection

Prior to our visit we reviewed all the information we had received from the provider. During the visit we spoke with four of the eight people who were using the service and asked them for their views. We also spoke with four support workers, two team leaders and the registered manager, Miss Marie Louise Parkes. The previous manager Ms Gaynor Smart-McCann, who�s name appears on this report has left the service but has not completed the deregistration process. We looked at some of the records held in the service including the support files for three people. We observed the support people who used the service received from staff and carried out a brief tour of the building.

We carried out this inspection to answer five key questions; is the service safe, effective, caring, responsive and well-led. Below is a summary of what we found. The summary describes what we observed, the records we looked at and what people using the service, their relatives and the staff told us. If you want to see the evidence that supports our summary please read the full report.

Is the service safe?

People�s care was planned to promote their safety. One person was reminded how to keep safe when out in the community. The person said, �I have got a mobile, I call here if I need to.� The support plan for another person was reviewed when they had an accident in a wheelchair. A person who needed to us a hoist to help with their mobility said, �I need to use a hoist, the staff know what to do, I trust them.�

We saw safe practices were followed to ensure medication was kept correctly and given to people when needed. Staff told us they had received training on the safe handling and administration of medicines.

CQC monitors the operation of the Deprivation of Liberty Safeguards which applies to care homes. While no applications have needed to be submitted, proper policies and procedures were in place. The manager said they would be responsible if an application was needed. The manager said they understood when an application should be made, and knew how to submit one.

Is the service effective?

People who used the service had an assessment of their needs before they moved into the home to determine what support they needed and if their needs could be met within the home.

We found the provider had effective systems to involve people in planning their care and obtaining people�s consent for this to be provided. A person who used the service said, �We have discussed my support plans, I signed them, you could say I have signed my life away!� We found people had support plans in place to help them manage various issues that had caused them problems previously.

A person told us they were about to move out of the home to live independently. They said, �I have got my goal, that�s what I am fighting for. The person managed their own medication and said, �I have always done it myself, I don�t need any help with that.�

Is the service caring?

We saw staff and people who used the service talking, laughing and playing games together. People appeared to be relaxed with staff and enjoyed being in their company. A person who used the service said, �I can�t help myself from having a bit of banter with staff, I have respect for everybody, same as they have for me.�

A support worker told us they worked in a, �Person centred way and include people where we can.� Another support worker said, �We are here to make a difference to people�s lives.�

Is the service responsive?

We found staff responded appropriately when people had the capacity to make decisions about their care and welfare. A person who used the service said, �I love it here, I more or less decide everything. I go out when I want and come back when I want.�

We found staff also responded appropriately to the care and welfare needs of people who used the service. A person who was having some difficulty with a new electric wheelchair said, �The chair is not to my requirements, staff will sort it out.�

Is the service well-led?

Staff were provided with the training they needed. A person who used the service said the staff were, �Very good at their jobs, they have the training they need.� A person who used the service told us some people had been involved in interviewing new staff. The person said, �I enjoyed it. I decided one candidate wasn�t suitable, they would not have been right to help us.�

We found some staff had not felt fully supported or listened to when they had tried to raise some concerns about some management issues and low morale within the staff team. Staff told us morale had improved over recent weeks, and we saw evidence that demonstrated this to be the case. A staff member said, �Morale has been low, but it is getting better.�