Background to this inspection
Updated
19 April 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.
A comprehensive inspection took place on 13 and 21 February 2018. The first day of inspection was unannounced. The inspection team consisted of one adult social care inspector and an expert by experience on the first day of inspection, and one adult social care inspector on the second day. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Prior to the inspection we reviewed all the information we held about this service including statutory notifications and other intelligence. We also contacted the local authority commissioning and contracts department, safeguarding, infection control, the fire and police services and clinical commissioning groups to assist us in planning the inspection. We reviewed all the information we had been provided with from third parties to fully inform our approach to inspecting this service.
We used information the provider sent us in 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 spoke to three relatives of people who use the service, the registered manager, a senior support worker, a team leader and three members of staff. We observed care interactions throughout the home and observed the breakfast and lunchtime meal to help us understand the experience of people using the service who could not express their views to us.
As part of the inspection we looked at two people’s care plans in detail and three people’s medication administration records. We also inspected two staff members’ recruitment documents, staff supervision and training records, accident and incident records and various policies and procedures related to the running of the service.
We used the Short Observational Framework for Inspection (SOFI) to observe care interactions. SOFI is a way of observing care to help us understand the experience of people who could not talk with us and spoke to relatives of people who used the service.
Updated
19 April 2018
A comprehensive inspection took place at 199 Burton Road on 13 and 21 February 2018. The first day was unannounced.
The home had previously been inspected on 6 January 2017 and was rated requires improvement overall and in the key questions of safe, effective and well-led. The home was rated as good in the key questions of caring and responsive.
We identified a breach of the regulations relating to good governance. We asked the provider to complete an action plan to show what they would do and by when to improve the key questions. On this visit, we checked to see if any improvements had been made.
199 Burton Road is a residential care home registered to provide personal care for up to four people who have a diagnosis of a learning disability and/or mental health. People in care homes receive accommodation and nursing or 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 home is a detached house located within secure gardens. There are four private bedrooms with en-suite facilities, a communal kitchen, dining room, lounge, a separate laundry/domestic room and an administration office. There were four people living at the home on the day of inspection.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
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.
During this inspection, we found sufficient improvements had been put in place which meant the registered provider was now compliant in respect of the breach of regulation identified at the last inspection.
Relatives of people who used the service told us their relatives were safe living at 199 Burton Road. Staff had received safeguarding training and knew what to do to keep people safe. Individual risks had been assessed and identified as part of the support and care planning process.
Staff were recruited safely and thorough checks were completed before staff started working at the home. We saw there were sufficient numbers of staff to ensure people’s care needs were met. Staff had received training, supervision and appraisal to ensure people received effective care and this also enabled the development of good practice.
Medicines were stored and managed safely. Regular medicine audits were undertaken.
People were supported with their hydration and nutrition needs. The home had been awarded the highest food hygiene rating of five for good hygiene practice when handling food.
Care plans were person centred and reflected people’s likes, dislikes and interests. Staff were aware of peoples’ preferences. People had regular access to health and social care professionals.
Staff had undertaken training on the Mental Capacity Act (2005) and Deprivation of Liberty Safeguards. Staff were able to explain how this legislation related to the people they supported, which meant people’s rights were being protected.
People enjoyed a range of activities and were encouraged to maintain life skills and have maximum control over their lives. A car was provided by the service to enable people to have an ease of access to a wide choice of places. Staff supported people to retain their independence.
Peoples’ personal records were stored confidentially in a locked room.
The home had good management and leadership and the registered manager was visible working with the team, monitoring and supporting staff to ensure people received the care and support they needed. Feedback regarding the registered manager was positive. People spoke highly about the management of the service.
Regular quality assurance audits took place within the home to help monitor and drive improvements.
The service had a complaints policy and process in place. People told us they knew what to do if they had any concerns or complaints about the service.
The service worked in partnership with other organisations and local commissioners.