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Inspection Summary


Overall summary & rating

Requires improvement

Updated 29 March 2018

The inspection site visit took place on 24 and 29 January 2018 and was announced.

Valley Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service provides short respite accommodation to people who have learning disabilities and complex health needs. The care home is a ground floor building and is registered to provide care for up to four people. Nobody resides at the care home on a permanent basis. At the time of our inspection visit there were three people receiving a respite service on both days of our inspection. The service is currently provided to twenty people.

At the last inspection in November 2015, the service was rated Good overall. However at this inspection we found improvements were required in relation to how the service assessed, monitored and improved the quality and safety of the service for people. Therefore the rating has changed since our previous inspection, from Good to Requires Improvement overall. This is the first time the service has been rated Requires Improvement.

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 was in the process of making improvements to the service. However, we found medicines were not always managed safely and checks had not identified where improvements were required. Risks to people’s safety were not always properly managed. We found processes to monitor the quality of service were not always effective and improvements were required in the way the service assessed, monitored and improved the quality and safety of the service for people.

The registered manager did not always work within the principles of the Mental Capacity Act 2005 [MCA]. Improvements were required to ensure people’s capacity was assessed, best interest decisions were recorded and consents were obtained in accordance with the MCA.

People were protected from the risks of harm or abuse because staff were trained in safe-guarding and understood their responsibilities to raise any concerns with the registered manager. The registered manager made sure there were enough suitably skilled, qualified and experienced staff to support people safely and effectively.

Care plans were personalised and easy to understand. However information was missing in some care plans, for example, some identified risks had not been assessed.

People knew how to complain, however improvements were required in the way complaints were managed. We found there were limited ways people could share their experiences of the service and information was not always accessible to people with complex needs.

The provider checked staff’s suitability to deliver care and support during the recruitment process. Staff were trained to meet people’s needs effectively and people were supported to maintain their health. People were supported to eat and drink enough to maintain a balanced diet that met their needs and preferences.

People told us staff were caring. Staff knew people well and understood their likes, dislikes and preferences for how they wanted to be cared for and supported. Staff respected people’s right to privacy.

We found breaches 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.

Inspection areas

Safe

Requires improvement

Updated 29 March 2018

The service was not consistently safe. Medicines were not always managed safely and checks had not identified where improvements were required. Risks to people’s safety were not always properly managed. Staff understood their responsibilities to protect people from the risk of harm. The provider checked staff’s suitability to deliver care and support during the recruitment process.

Effective

Requires improvement

Updated 29 March 2018

The service was not consistently effective. There were gaps in the registered manager’s understanding of their responsibilities in relation to the MCA and improvements were required to ensure people’s capacity was assessed, best interest decisions were recorded and consents were obtained in accordance with the MCA. Staff were trained to meet people’s needs effectively. People were supported to maintain their health.

Caring

Good

Updated 29 March 2018

The service was caring. Staff knew people well and understood their likes, dislikes and preferences for how they wanted to be cared for and supported. People told us staff were caring.

Responsive

Requires improvement

Updated 29 March 2018

The service was not consistently responsive. People were confident to raise any concerns or complaints about the service, however improvements were required in the way complaints were managed and how information was made accessible to people.

Well-led

Requires improvement

Updated 29 March 2018

The service was not consistently well-led. The registered manager was in the process of making improvements to the service. However, we found processes to monitor the quality of service were not always effective and improvements were required in the way the ser-vice assessed, monitored and improved the quality and safety of the service for people.