20 July 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 is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The inspection took place on 06 June 2017 and was announced. We gave the provider 24 hours’ notice because we wanted to be sure that someone would be in the office to facilitate the inspection and some people who used the service would be available to talk to us.
The inspection was undertaken by one adult social care inspector from the Care Quality Commission (CQC).
Prior to the inspection we reviewed information we held about the service and notifications we had received from the service. We also contacted the local authority commissioners of the service and the local authority safeguarding team.
Prior to our inspection of the service, we were provided with a copy of a completed provider information return (PIR); this is a document that asks the provider to give us some key information about the service and any improvements they are planning to make.
During the inspection we spoke with the registered manager, three members of support staff and three people who used the service. We contacted other people who used the service by telephone, following the inspection. We also contacted four health and social care professionals. We spent time at the office and looked at three staff files, training records, meeting minutes and audits. We attended the supported living property and looked at three care files and staff supervision notes.
20 July 2017
The inspection took place on 06 June 2017 and was announced. We gave the provider 24 hours’ notice. This was because we wanted to ensure that there would be someone in the office to facilitate the inspection and some people who used the service available to speak with us. The service had changed location since the last inspection so had not yet been rated at this location.
The service has an office in Bolton and provides personal and nursing care to people who have complex care needs. The service supports six people living in a supported tenancy house. In addition, care is provided to people living in their own homes via an outreach placement.
The service had a registered manager in place. 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 recruitment system was robust and helped ensure staff were suitable to work with vulnerable people. Staffing levels were sufficient to meet the needs of the people who used the service.
Safeguarding issues were recorded and reported appropriately. Staff undertook regular training in safeguarding and demonstrated a good understanding of how to recognise, record and report any concerns.
Accidents and incidents were recorded appropriately and general and individual risk assessments were in place and reviewed regularly. Health and safety records were complete and up to date and medicines were managed safely at the service.
There was a thorough induction programme and a training programme was on-going to help keep staff skills and knowledge up to date. Staff demonstrated a good understanding of their roles and responsibilities.
Care files included relevant assessments and evidenced good communication between the service and other agencies.
The service were working within the legal requirements of the Mental Capacity Act (2005). Staff had an understanding of the principles of the MCA.
We observed staff at the supported living service and saw that they interacted in a kind and friendly manner. People who received care in the community told us they were treated with the same respect and courtesy.
There was a service user involvement policy and procedure. Many of the documents included in people’s care files were produced in easy read format to make them more accessible to people who used the service.
Care plans were person-centred and included a range of health and personal information. People’s preferences, likes, dislikes and interests, goals and aspirations were documented.
People were supported to access a range of work, college and social activities. The service had an appropriate, up to date complaints policy and complaints were followed up as required.
People told us the management at the service were always approachable and supportive. Staff supervisions and appraisals were undertaken on a regular basis.
There were a number of regular audits undertaken at the service and the results were analysed to help drive continual improvement in care delivery.