Archived: 21 High Street

Updated 16 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 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 was undertaken by one inspector and an Inspection Manager. It took place on 25 January 2017 and was announced to ensure that staff and people were available.

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 one person living at the home.

We spoke with the provider. We looked at the care records for one person. 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.

Updated 16 March 2017

This inspection took place on 25 January 2017 and was announced.

21 High Street is a residential care home accommodating up to three adults with learning disabilities. 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.

In addition to the registered manager, the person received support from the provider. As these were the only two staff working at the home they are referred to as the registered manager and the provider in the report. The philosophy of the service is to assist people to gain skills to live a more independent life. The previous two people moved out into more independent living in 2015 and 2016.

People were safe. The registered manager and provider understood their role and responsibilities to keep people safe from harm. Risks were assessed and plans put in place to keep people safe. There were enough staff to safely provide care and support to people.

Medicines were well managed however the person living at the home did not have any prescribed medicines. Emergency systems had been put in place to keep people safe.

People had also been assisted to move to more independent living by the service. We were provided with evidence of incidents where people had been cared for in a supportive and flexible manner which allowed them to move on to more independent living.

Information was provided in a way that made it easier for people to understand. The registered manager and provider took time to reword things when people didn't initially understand. We saw that people had choice and control over their lives and that the registered manager and provider responded to them expressing choice in a positive and supportive manner.

Arrangements were made for people to see their GP and other healthcare professionals when required. People’s healthcare needs were met and the registered manager and provider worked with health and social care professionals to access relevant services. The service was compliant with the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS).

People received a service that was caring. They were cared for and supported by the registered manager and provider who knew them extremely well. The registered manager and provider 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 was easy to understand. People were supported to maintain relationships with family and friends.

The service was responsive to people’s needs. People received person centred care and support. People were encouraged to participate in employment and leisure activities. People were encouraged to make their views known and the service responded by making changes. Transitions for people moving from the service were well planned. The registered manager and provider had worked to ensure people had access to healthcare services.

People benefitted from a service that was well led. The provider had systems in place to check on the quality of service people received and any shortfalls identified were acted upon.