• Care Home
  • Care home

Archived: 31 Whitwell Road Also known as People First

Overall: Requires improvement read more about inspection ratings

Southsea, Portsmouth, Hampshire, PO4 0QP (023) 9279 3941

Provided and run by:
Bayrose Limited

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Background to this inspection

Updated 16 May 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 was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, looked at the overall quality of the service, and provided a rating for the service under the Care Act 2014.

The inspection took place on 7 March 2017 and was unannounced. The inspection was carried out by one inspector.

Prior to the inspection we reviewed previous inspection reports and information we held about the service including notifications. A notification is information about important events which the service is required to tell us about by law). This Information helped us to identify and address potential areas of concern. 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

During the inspection we spoke with three people living at the home.

We spoke with the registered manager, the new manager and care staff and a relative. We also received information from the local authority who had been working with the home recently. We looked at the care records for three people, and medicine records and storage. We also looked at a range of records relating to the management of the service such as accidents, complaints, quality audits and policies and procedures.

Overall inspection

Requires improvement

Updated 16 May 2017

This inspection took place on 7 March 2017. The inspection was unannounced.

At our last inspection carried out on 3 November 2016, we found five breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and one breach of the Care Quality Commission (Registration) Regulations 2009. The concerns were: safeguarding issues had not always been reported to the local authority safeguarding team or notified to the Care Quality Commission; staff had not always completed the training they needed to carry out their roles; medicines were not stored appropriately and records for medicines were not always present. The provider had quality audit tools in place. However these had not identified the risks to people's health and wellbeing. The environment had not always supported people's privacy and dignity.

The provider sent us an action plan in December 2016 telling us they would be compliant with all the regulations by the end of January 2017.

This service has been in Special Measures. Services that are in Special Measures are kept under review and inspected again within six months. We expect services to make significant improvements within this timeframe. During this inspection the service demonstrated to us that improvements have been made and is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is now out of Special Measures.

31 Whitwell Road is a care home without nursing and supports people with a learning disability. The service can provide accommodation for a maximum of nine people. There were eight people living at the home at the time of inspection.

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. The registered manager advised us that they had appointed a manager with the intention that they will deregister and the new manager will apply for registration. The new manager was working at the home on the day of the inspection and it was their second day in post. We refer to the new manager as manager throughout the report, and the registered manager separately.

Relatives we spoke with were positive about the registered manager and new manager and staff and gave examples of person-centred care.

People were safe. Staff understood their role and responsibilities to keep people safe from harm. Risks were assessed and plans put in place to keep people safe. However staff still needed reminding about safety in the environment and there was an infection control issue.

Medicines were managed safely. Emergency systems had been put in place to keep people safe.

There were enough staff to safely provide care and support to people. The provider carried out safe recruitment practices to ensure staff were suitable to work with vulnerable people.

We saw that people had choice and that staff responded to them expressing choice in a positive and supportive manner.

The service was compliant with the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS).

People were supported to have enough to eat and drink and to maintain a balanced diet. Staff monitored people's health and well-being and ensured people had access to healthcare professionals when required.

People experienced caring relationships with the staff that provided good interaction by taking the time to listen and understand what people needed. People's care was planned in a personalised way and delivered by staff that knew them well. Their support needs were monitored and reviewed to ensure that care was provided in the way that they needed.

Staff treated people with dignity and respect. People’s views were actively sought and they were involved in making decisions about their care and support. Information was provided in ways that were easy to understand. People were supported to maintain relationships with family and friends.

The provider was introducing systems to check on the quality of service people and these needed to be embedded to demonstrate that the improvements could be sustained. The provider had acted and had taken action to improve the environment. We have made a recommendation about this.

We found one breach 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 this report.