Background to this inspection
Updated
25 March 2017
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 is 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 9 February 2017 and was announced.
The provider was given 48 hours’ notice because the location was a small care home for people with autism and behaviours that challenge the service who are often out during the day; we needed to be sure that someone would be in.
The inspection was carried out by one inspector and one expert by experience (ExE). An ExE is a person who has personal experience of using or caring for someone who uses this type of care service.
Before our inspection we also reviewed our records about the service, including previous inspection reports, statutory notifications and enquiries. Prior to the inspection the provider completed and returned to us 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 spoke with two people who used the service, seven relatives, nine staff and the registered manager. We looked at two care records, three medicines records and four staff records. We checked the audits, policies and procedures and maintenance records of the home.
Updated
25 March 2017
62 Roxborough Park is a service for eight people with autism and challenging behaviour. All people who used the service displayed some forms of behaviour which challenges the service. The service is spacious and provides accommodation on the ground and first floor. 62 Roxborough Park is located closely to Harrow town centre, which provides good transport links and shopping facilities.
At the last inspection on 11 February 2015, the service was rated Good.
At this inspection we found the service remained Good.
The staff we spoke with showed sound understanding of how to recognise and report allegations of abuse. Risks to people who used the service were assessed and robust risk management plans ensured a consistent approach from all staff involved in peoples care. Medicines were managed safely and sufficient staff was deployed to ensure people’s needs were met.
Training provided to was specific to their role. Regular supervisions and appraisals ensured that staff were provided with the right support to carry out their duties. Support was provided enabling people to have maximum choice and control of their lives, without putting to many restrictions on them. This was supported by a wide range of policies and procedures. People took part in the planning and preparation of their meals.
Staff demonstrated a genuine caring attitude towards people ensured their dignity and privacy was maintained.
Person centred care records ensured that care provided was centred around people who used the service. The care plans were also relevant to people with the autistic spectrum condition. People were clear how to raise concerns. The service did not receive any complaints since our last inspection.
The management at Roxborough Park was available and was involved in hands on care. All staff told us that the registered manager was very experienced, easy to approach and was always open to suggestions in how to improve the quality of care provided. Quality of care was reviewed and monitored frequently to ensure that the quality of care was not compromised.
Further information is in the detailed findings below.