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Inspection Summary


Overall summary & rating

Good

Updated 19 July 2019

About the service: Station Road is a care home providing accommodation and personal care for up to 12 people with learning disabilities. The home is a large detached house. The home was set out over three floors with a self-contained flat where two people lived. On the day of the inspection, nine people were living at the service.

The service had been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with a learning disability were supported to live as ordinary a life as any citizen.

People’s experience of using this service:

People and relatives told us the staff were kind, friendly and dedicated. Staff were knowledgeable around people's needs.

People were not always protected from the risk of avoidable harm as staff were not always providing care as per people’s care plan and risk assessment.

Processes were in place to ensure that people could raise concerns. Complaints were investigated and responded to.

The service was working to a service improvement plan with support from the local placing authority. Checks and audits were carried out to determine the quality of the care. The provider had acted on some areas already identified for improvement.

Overall staff morale was poor with concerns raised about staff and management working relationships. The management team assured us these concerns were being addressed.

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 supported this practice.

Medicines were safely managed.

There were enough staff available to ensure people’s care needs were met. Staff were safely recruited and received regular training.

People were supported to attend and engage in activities in the local community which were of interest or benefit to them.

Rating at last inspection: Good (report published January 2018).

Why we inspected: The inspection was brought forward due to information of concern that we had received in relation to people's care. The inspection was prompted in part by information we had received from the local authority where concerns had been raised around aspects of care delivery. At the time of the inspection, the service was subject to enhanced monitoring by the local authority safeguarding and quality team. The service was working on a service improvement plan.

However, the information shared with CQC about the incident indicated potential concerns about unsafe medicines management, risk management and staffing levels. This inspection examined those risks.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Good

Updated 19 July 2019

The service was safe

Details are in our Safe findings below.

Effective

Good

Updated 19 July 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 19 July 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 19 July 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Good

Updated 19 July 2019

The service was well-led.

Details are in our Well-Led findings below.