Archived: 27A St Annes Road

Updated 26 June 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

This inspection was carried out by one inspector.

Service and service type:

27A St Annes Road is a ‘care home’ for people with learning disabilities, mental health, autism and other complex related issues. People in care homes receive accommodation and 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 service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. At the time of the inspection, due to unforeseen circumstances, the registered manager was unable to be present. The inspector liaised with them over the telephone during the inspection and corresponded with them following the inspection.

Notice of inspection:

This inspection took place on 17 April 2019 and was unannounced.

What we did:

The provider had completed a Provider Information Return (PIR). The PIR 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 looked at other information we held about the service and provider before the inspection visit. We also contacted health and social care professionals who were in regular contact with the service.

We spoke with one person who used the service and one health and social care professional. We also had informal interactions with the person and carried out observations. We spoke with the registered manager on the telephone and four members of staff. Following the inspection, we spoke with another health and social care professional.

We looked at one person’s care records. We observed care and support in communal areas. We were unable to look at staff files due to no staff having access to them. We looked at information received in relation to the general running of the home including medication records and environmental files.

During the inspection we asked for further information including quality assurance documents and follow ups to some things we found. The provider and registered manager also sent additional information in relation to their service because they were not present during the inspection. All the information was provided in the time scales given and the information has been included in this report.

Updated 26 June 2019

About the service:

27A St Annes Road is a residential care home that was providing personal care for up to four people with learning disabilities, mental health, autism and other complex needs. At the time of the inspection one person was living at the service. There had been up to two people living at the service since it opened.

People’s experience of using this service:

One person told us they were happy living at the home and they felt safe. However, we found improvements could be made with the management of medicines. Most risks had been identified with ways to mitigate them. Although records and processes around the management of behaviours which could challenge required development.

The provider and management had completed a range of audits to identify concerns and issues at the service. They strove to be open and constantly develop and improve the support people were received. The registered manager had understanding about their statutory obligation to notify external bodies about specific incidents. However, their systems had not always identified concerns found during the inspection.

When a person had fluctuating capacity to make specific decisions, there were not always systems in place to demonstrate legislation had been considered and applied, although staff demonstrated an understanding when spoken with. When people were deprived of their liberty systems were in place to ensure it was lawful. Any person living at the home was involved in making choices about their day to day care and these were respected by staff.

One person and staff felt there were enough staff. Staff had received a range of training considered mandatory by the provider. They also were provided with opportunities to complete specialist training to meet people’s specific needs.

People had care plans which were personalised and provided a range of information for staff to use to support their needs and wishes. There were good links with other health and social care professionals which was important due to the complex needs of anyone living at the home.

Staff were kind and caring and knew the person currently living at the home incredibly well. Staff respected privacy and dignity throughout the inspection. Good links had been developed with the community.

More information about the detailed findings can be found below.

Rating at last inspection:

This is the services first inspection.

Why we inspected:

This was a planned inspection based on the date the service was first registered.

Enforcement:

We have made one recommendations about making decisions for people who lack capacity.

We identified one breach of the Care Quality Commission (Registration) Regulations 2009 around failing to notify the Care Quality Commission of certain events in line with their statutory obligations.

Details of action we have asked the provider to take can be found at the end of this report.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk