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Adlington House - Urmston Good

Inspection Summary


Overall summary & rating

Good

Updated 11 January 2019

The inspection took place on 11 December 2018 and was announced. We gave Adlington House -Urmston, 24 hours’ notice to advise we would visit, as we needed to ensure someone would be available at the registered office and to gain permission to visit people in their accommodation.

Adlington House - Urmston provides care and support to people living in specialist 'extra care' housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is bought and is the occupant's own home. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing; this inspection looked at people's personal care and support service. At the time of inspection, 14 people receiving personal care from the provider. This was Adlington House – Urmston, first inspection since their registration with the Care Quality Commission (CQC) in November 2017.

The service had a 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.

People felt safe while being supported by the staff team at Adlington House – Urmston. Staff were aware of their responsibilities to report any concerns they had in relation to the protection of vulnerable adults and had full confidence the registered manager would listen to any concerns they had.

Staff were recruited safely and received pre-employment checks ensure they were suitable to work with vulnerable adults.

People had the risks they may face assessed to reduce the risk from occurring. Risk assessments were reviewed monthly or more often if required to ensure they remained factual.

The provider had oversight of the health and safety of the building and completed their own internal checks to ensure peoples safety. Staff received training in infection control and had access to personal protective equipment when carrying out personal care.

People received a thorough pre-assessment of their needs to ensure the service could meet their requirements.

The staff team fully understand mental capacity and we saw and were told, staff always gained consent from people before providing personal care. People told us that staff always informed them of what they were doing. Staff told us they would report any concerns with people’s capacity to the registered manager.

Staff received training appropriate to their job role. Staff found the training to be good and enjoyed learning.

We saw kind and caring interactions between people who used the service and the staff team. People told us they felt well cared for and staff were polite.

People told us that staff were respectful to them they felt involved in their care. We observed friendly joking between staff and people being supported and it was clear staff knew the people they supported well.

Care plans were detailed and clearly recorded people’s needs, preferences and choices. Care plans were regularly reviewed to ensure they remained factual and people were involved in the planning and reviews.

Activities were available in the communal parts of the home. A resident’s association had been set up to raise funds for events and to purchase equipment for the home. People were able to meet others and feel engaged in the management of the building.

People could move their pets into their apartments and be supported to maintain their companionship with their pet.

The registered manager was approachable, and people and the staff team were very complimentary about them.

Audits to monitor and improve the service were regularly completed and actions to improve the service were met in a timely manner.

The staff team received regular supervision an

Inspection areas

Safe

Good

Updated 11 January 2019

The service was safe.

People told us they felt safe while being supported by the staff team at Adlington House � Urmston.

Staff were recruited safely and had the necessary checks in place to enable them to support vulnerable adults.

Staff were clear on their responsibilities for reporting any safeguarding concerns. Staff had received training in safeguarding vulnerable people from abuse and had full confidence the registered manager would listen to any concerns they had.

Effective

Good

Updated 11 January 2019

The service was effective.

People received a thorough pre-assessment of their needs prior to be supported by Adlington House � Urmston. This was to ensure the provider could meet people needs.

Staff gained consent from people before providing personal care and support. Staff had a good understanding of mental capacity and were aware of what actions they should take should they have concerns about a person�s capacity to make a decision.

Staff members received training appropriate to their job role. Staff members told us they felt the training was good.

Caring

Good

Updated 11 January 2019

The service was caring.

There were kind and caring interactions between the staff team and people being supported. The staff team engaged in friendly joking with people and were at ease with each other.

People told us they felt well cared for and were treated with dignity and respect.

Staff were aware of people�s individual needs and were respectful of how people identified.

Responsive

Good

Updated 11 January 2019

The service was responsive.

Care plans were detailed and captured people�s needs, preferences and choices. Care plans were regularly reviewed to ensure they remained up to date.

A resident�s association had been formed to promote engagement with people living in the building. People were complimentary of the events put on by the association and regular meetings were held to discuss how funds would be managed. Additional activities were provided by the staff team for people to join, in the communal areas of the building.

The provider had a pet policy in place to support people to continue to care for their pets with support and to enable people to enjoy their pet�s companionship.

Well-led

Good

Updated 11 January 2019

The service was well-led.

People and the staff team felt the registered manager was approachable and supportive. The registered manager was supported by two area managers.

The registered manager completed a number of audits to monitor and improve the quality and safety of the service.

The registered manager completed regular supervision with the staff team and held regular staff meetings and meetings with the people the service supported. Supervision and meetings were used as a way of communicating changes.