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69 Chartridge Lane Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 4 April 2020

About the service

69 Chartridge lane is a residential care home providing personal care up to six people with mental health and/or learning disabilities and autistic spectrum disorder.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

Six people were using the service at the time of our visit. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

People’s experience of using this service and what we found

People told us they felt safe living in the service. Risks had been identified but action had not always been taken quickly to address and minimise the risk. We were concerned the staffing levels for night time were insufficient. We have made a recommendation about responding to the findings of risk assessments in a timely way.

Care documents were not always up to date or accurate, the registered manager had been away from the service for six months in 2019, a new manager was in post during this time. When the new manager left the service, the registered manager returned. They told us since their return some records had gone missing. Records were not always explicit in their detail, this meant it was difficult for the registered manager or others reviewing the information to get a clear picture of what care had been provided.

Improvements had been made to the storage and administration of medicines since our last inspection in 2017. At this visit we found the storage, administration and records related to medicines were safe.

Staff understood and practiced good infection control. Staff had received training in safeguarding people. Staff understood their responsibilities in protecting people from abuse. Safe recruitment processes were in place to ensure people were protected as far as possible from being cared for by unsuitable staff.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Staff received support, training, supervision and appraisal in order they could provide care to a high standard. Care plans identified people’s food and drink preferences. Specialist professionals and agencies were involved in care provision where required, People were supported to healthcare appointments when needed.

The building was well maintained. People were able to personalise their own rooms with their chosen decorations and accessories.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent. From our observations and through discussions with staff, we ascertained care was person centred and focussed on people’s needs rather than the needs of the service. People were treated in a respectful and caring way by staff. Staff c

Inspection areas

Safe

Requires improvement

Updated 4 April 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 4 April 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 4 April 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 4 April 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 4 April 2020

The service was not always well-led.

Details are in our well-Led findings below.