Archived: 27 & 28 Reginald Road

Updated 11 May 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 was planned to check 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.

This inspection took place on 28 March 2018. We gave the service 24 hours’ notice of the inspection visit because the location is a small care home for people who are often out during the day. We needed to be sure they would be in.

The inspection team comprised of two adult social care inspectors.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form asking the provider to give some key information about the service, what the service does well and improvements they plan to make. The provider completed and returned the PIR in October 2017 and we considered this when we made judgements in this report.

We also reviewed other information we held about the service such as notifications, which are events that happened in the service the provider is required to tell us about.

During this inspection we met with the registered manager and the operations manager. At the provider's office base we spoke with two people who used the service and nine staff members. This included nurses, care and support staff. We also visited people in their flats.

We looked at the care records of two people who used the service to see whether they reflected the care given. We also looked at seven staff records, including recruitment and training information. We looked at other information related to the running and the quality of the service which included quality assurance audits, appraisal and supervision records, and minutes of meetings with staff, and arrangements for managing complaints.

Updated 11 May 2018

We undertook an announced comprehensive inspection of 28 Reginald Road on 28 March 2018. This inspection was the first inspection for this location.

28 Reginald Road is a care home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. 28 Reginald Road is linked to Neville Court, where the registered manager, staff and records are based. It provides support for people with neuro-disability, brain injury and stroke, enduring mental ill health, and early-onset dementia. It is registered to provide support for two individuals in self-contained accommodation. The service provides a rehabilitation pathway for those individuals who have met their goals, and are ready to gradually return to life in the community. In some instances, 28 Reginald Road is used by individuals with a progressive condition, who can live independently but require support nearby.

There was a registered manager in post. A registered manager is a person who has registered with the CQC 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.

Staff were appropriately recruited and there were enough staff to provide care and support to people to meet their needs. People were consistently protected from the risk of harm, there were good infection control procedures in place and received their prescribed medicines safely.

The care people received was effective. Staff had access to the support, supervision, training and on-going professional development they required to work effectively in their roles. People were supported to maintain good health and nutrition.

People had developed positive relationships with staff, who were caring and treated people with respect, kindness, dignity and compassion. People had detailed personalised plans of care in place which enabled staff to provide consistent care and support in line with people's personal preferences. People were supported to live independently. Consideration had been given to end of life care.

People knew how to raise a concern or make a complaint and the provider had implemented effective systems to manage any complaints they received. Some information was available in various formats, such as easy read, to meet the communication needs of the individuals.

The service had a positive ethos and the registered manager was open and approachable, understood the needs of the people in the home, and listened to staff. One staff member said, “I feel comfortable approaching [name of registered manager].” There were effective systems in place to monitor the quality of the service and drive improvements. The registered manager completed statutory notifications in a timely manner.