Archived: New Mabgate Centre

Updated 10 September 2016

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 05, 07 July and 12 August 2016 and was announced. The provider was given 48 hours’ notice because the location provides personal care to people who use the vocational and educational centre. The inspection team consisted of one adult social care inspector. We carried out this inspection over this period of time due to discussion regarding the registration of the service.

At the time of this inspection there was one person receiving personal care from New Mabgate Centre. We spoke with one relative. We spoke with the relative due to the complex needs of the person who used the service. We also spoke with five members of staff, the acting team manager, deputy chief executive and the chief executive. We visited the vocational service and spent some time looking at documents and records that related to people’s care and support and the management of the service. We looked at one person’s care plan and support plan.

Before the inspection, the provider had completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We sent out surveys to 23 members of staff and seven health professionals; seven from members of staff and one from a health professional were returned. We have included their responses in the inspection report.

We also reviewed all the information we held about the service. This included any statutory notifications that had been sent to us and previous inspection reports. We contacted the local authority and Healthwatch. The local Authority stated they were not aware of any concerns with regards to this service. Healthwatch did not respond with any concerns. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

Updated 10 September 2016

The inspection took place on 05, 07 July and 12 August 2016 and was announced. We carried out an inspection in January 2014, where we found the provider was meeting all the regulations we inspected.

New Mabgate Centre provides one to one vocational and education support at the location and within the wider community for adults with autism related conditions. They also provide personal care for one person in their own home.

The service did not have a registered manager at the time of the inspection. 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.

A family member told us their relative was safe with staff and when they attended the New Mabgate Centre and we saw there were systems and processes in place to protect people from the risk of harm. Staff had a good understanding of safeguarding vulnerable adults and knew what to do to keep people safe.

There were appropriate arrangements for the management of medicines. Individual risks had been assessed and identified as part of the support and care planning process.

We found there were, sufficient numbers of experienced staff. Robust recruitment and selection procedures were in place. Staff received the training required to meet people’s needs and had attended supervision meetings, however, supervisions were not carried out in line with the provider’s policy and there was no mechanism for monitoring what staff training still needed to be completed. We have made a recommendation about staff training and supervision.

People’s needs were assessed and care and support was planned and delivered in line with their individual care needs. Staff had good relationships with the person who used the service and family members. Staff knew how to respect people’s privacy and dignity. We saw staff were kind and supported people with patience.

Staff said people were supported to make decisions. Staff told us people received the support they needed with meals and healthcare. Daily routines were in place and an individual programme of activity which was carried out at the location or in the community.

The service had good management and leadership. There were effective systems in place to monitor and improve the quality of the service provided. People and family members were given information on how to make a complaint.