You are here

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 4 August 2018

The inspection took place on the 15 and 20 June 2018 and was unannounced. Two inspectors and a pharmacy inspector carried out this inspection.

Drayton 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.

Drayton Road provides accommodation for up to seven people with learning disabilities. It is divided across three floors with one ensuite bedroom, two shared bathrooms, two living room spaces and kitchen facilities. The care service has 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 learning disabilities and autism using the service can live as ordinary a life as any citizen.

At the previous inspection on the 9 and 16 March 2017 the service was rated as requires improvement in Safe and Well Led. The service has now made improvements in Well- Led.

The service had a new registered manager. 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.

People were kept safe at the service and told us they felt safe at Drayton Road. Staff understood their safeguarding obligations and clear easy read information was provided for people who used the service on safeguarding. Staff were recruited safely at the service and appropriate checks completed to confirm suitability. Staff had been trained in medication but understanding in safely administering certain medicines risked incidents occurring.

People’s care plans were detailed and provided background information about people so staff could get to know them. Risk assessments were present and gave information on how to mitigate risk. People at Drayton Road were supported to take positive risks while avoiding harm in order to live their life freely.

Staff wore appropriate personal protective equipment to protect people from the risk of infection. However areas within Drayton Road was not always cleaned fully.

People were supported to eat and drink sufficient amounts and encouraged to make meals independently or with staff support where needed.

The service sought consent before giving care and always encouraged people to make their own decisions where possible. The service worked within the principles of the Mental Capacity Act 2005 and had made appropriate applications under the deprivation of liberty safeguards (DOLS).

Staff received training in mandatory areas and specialist training to support them in their role.

There was a robust complaints procedure that ensured people and their relatives knew how to make a complaint. Where incidents had happened, lessons learnt exercises were completed to minimise the risk of them happening again.

People, relatives, staff, and external stakeholders spoke positively of the management of the service. Quality systems were in place to ensure the service was running as it should be and where improvements needed to be made this information was fed back to management and staff.

We have made two recommendations about medicines management and infection control. Further information is in the detailed findings below.

Inspection areas

Safe

Requires improvement

Updated 4 August 2018

The service was not consistently safe.

People received their medicines on time but were not always managed in a safe way.

People were protected from the risk of abuse. Staff had been trained in safeguarding adults.

The service was generally clean however there were areas in bathrooms that required cleaning.

People had risk assessments and were supported to take positive risks to support living an independent life.

Staff were recruited in a safe way.

Effective

Good

Updated 4 August 2018

The service was effective.

People were supported by staff who had the skills, knowledge and training.

Peoples needs were assessed jointly with staff at the service. Care plans provided full information on people’s goals, likes and dislikes .

The service supported people to make their own decisions and worked within the principles of the MCA 2005.

People were supported to eat and drink sufficient amounts and make their own meals where they could.

People had access to health care services and had their health regularly monitored by staff.

Caring

Good

Updated 4 August 2018

The service was caring.

Staff treated people in a kind and respectful manner and people liked the staff who supported them.

People’s privacy and dignity was promoted.

Responsive

Good

Updated 4 August 2018

The service was responsive.

The service had an accessible complaints policy and staff supported people to make a complaint.

People’s end of life wishes were documented if they wanted to discuss it.

Well-led

Good

Updated 4 August 2018

The service was well- led

Staff spoke positively about management of the service and people at the service knew who was in charge.

The registered manager performed audits with the support of the area manager and deputy manager.

Feedback on the service was requested from people, their relatives and external stakeholders.