Background to this inspection
Updated
21 February 2018
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 visits took place on 20 and 28 December 2017. The first day of the inspection was unannounced and was conducted by one inspector. The second day of the inspection was announced and conducted by the same inspector to provide a further opportunity for people to give their views about living at the service.
When planning our inspection, we looked at the information we held about the service. This included the notifications received from the provider about deaths, accidents/incidents and safeguarding alerts which they are required to send us by law. We also looked at the Provider Information Return (PIR) This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We also contacted local authorities who provide funding for people to ask them for information about the service. We were not informed of any significant concerns with the service.
During our inspection, we spoke with three people who lived at the service. Some of the other people we approached were unwilling to speak to us or provided limited responses; we therefore observed the interactions between people and support workers to contribute to our inspection findings. We also spoke with three support workers, the registered manager, and the deputy manager.
We looked at the support plans for three people to see how their support and treatment was planned and delivered. We also looked at five Medication Administration Records (MAR) and the medicine management processes and audits for the service.
We looked at support workers training records and the provider’s training audit to confirm the training undertaken.
We also looked at records relating to the management and audit of the service and reviewed the provider's policies and procedures.
Updated
21 February 2018
The inspection visits took place on 20 and 28 December 2017. The first day was an unannounced visit and the second day was announced to enable us to speak with people living at the service and the 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.
The service was transferred in its entirety to the current registered provider in December 2016. The last inspection of the service prior to the transfer was in May 2016 and we rated it as good overall. The current registered manager and support workers were employed at the service at the time of that inspection.
The Royd is a care home registered to accommodate up to 16 adults with complex mental health needs who require assistance with their personal care. At the time of our inspection visit 13 people lived at the service. People in care homes receive accommodation and personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The Royd is divided into two units in adjacent houses within a residential area of Birmingham. One unit provides support for people who are unable to manage their personal care. The second unit provides support for people who are capable of attending to their personal care needs on most occasions. The service’s main aim is to assist people to develop or relearn the life skills to enable them to live independently in the community.
People felt secure and safe with their support workers who helped them remain safe from the risk of abuse.
People were protected because risk assessments had been completed to identify and reduce the risk of harm for people who lived at the service.
People were able to have their needs met because sufficient support workers were available to assist them throughout the week.
People were assisted by experienced support workers who had developed in-depth and personal knowledge of their needs likes and dislikes.
The provider had recruitment processes for the safe employment of support workers and processes which ensured they would receive the necessary induction and training to meet the support needs of people living at the service.
People were supported and received their medicines as prescribed by their healthcare professionals.
Peoples' consent was obtained before providing support and the provider understood and applied the legal requirements of the Mental Capacity Act 2005.
People were supported to have maximum choice and control of their lives and were supported in the least restrictive way possible; the policies and systems in the service support this practice.
People were supported to make choices, take responsibility for their own daily activities and were encouraged to try new activities and learning opportunities.
People were provided with, or assisted to prepare, culturally appropriate food and drink.
People's mental health and physical health needs were assessed and people were supported to access their local health care professionals and mental health services when required.
People were supported by caring and respectful staff.
People’s needs were recorded in support plans which were being updated and regularly reviewed.
People knew how to complain about the service they received and were supported to make complaints and discuss issues of concern.
The provider had systems to assess and monitor the quality of the service and was introducing new policies and documentation to improve consistency at the service and meet people’s needs.