Background to this inspection
Updated
29 December 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 was carried out on 30 October 2017 by one inspector. The inspection was unannounced.
Before the inspection we reviewed all the information we held about the service including previous inspection reports and notifications. Notifications are events that happen in the home which the provider is required to tell us about law. We also reviewed the most recent Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, such as what the service does well and improvements they plan to make. We used this information to help us decide what areas to focus on during our inspection.
Three people were engaged in community activities during our inspection although we did speak briefly with one person when they returned home at tea time. We also observed one person, who was unable to tell us their views, being supported during the day to help us understand their experiences. During the inspection we spoke with two members of care staff and the registered manager. Following the inspection we received feedback about the service from two people’s relatives and two healthcare professionals.
We looked at three people’s care records and pathway tracked two people’s care. Pathway tracking enables us to follow people’s care and to check they had received all the care and support they required. We looked at records related to the running of the home, including incident and accident records, medicines records, three staff recruitment, training and appraisal records and systems for monitoring the quality of the service provided.
This was the first comprehensive inspection for the service since it registered with the commission in January 2017.
Updated
29 December 2017
Telegraph Road provides accommodation and personal care for up to four people living with a learning disability, physical disability, autism and/or mental health needs. The home is set back off a main road within walking distance of local shops and amenities. The accommodation comprises a large lounge overlooking the garden, a kitchen/diner and a smaller lounge which provides a cosy, quiet space. Bedrooms are split across the ground and first floor which are accessed by a central staircase. At the time of our inspection four people were living at the home.
The inspection was unannounced and was carried out on 30 October 2017 by one inspector.
There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the home. 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 home is run.
Relatives, staff and healthcare professionals told us they felt the home was safe. Staff had received safeguarding training and understood their responsibilities to report any concerns.
Robust recruitment procedures ensured only suitable staff were employed. Sufficient staff were deployed to meet people’s needs, including one to one and two to one support in the community.
Individual and environmental risks relating to people’s health and welfare had been identified and assessed to reduce those risks. Contingency plans were in place to manage emergencies.
People’s rights were protected because staff understood and followed the Mental Capacity Act 2005. Deprivation of liberty safeguards had been submitted to the local authority for authorisation when required.
Staff empowered people to make choices and take control of their lives. People were encouraged to take part in a wide range of activities, both at home and in the community, which increased their skills and independence.
Staff communicated with people in a way that met their needs, such as signs, pictures and symbols which helped them to make informed choices.
Staff were kind and caring, treated people with dignity and respect and ensured their privacy was maintained. People were encouraged to maintain family relationships and visitors were welcome at any time.
People had access to health care when required and were supported to maintain their health and well-being. People were provided with sufficient food and drink to meet their specific dietary needs.
People had detailed support plans which provided guidance for staff, who knew people well.
There was a positive, supportive and open culture within the home. Staff felt supported and listened to by the registered manager and were involved in the development of the service.
Complaints procedures were available although the home had not received any complaints.