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Archived: Haringey Respite Outreach Service Requires improvement

This service was previously registered at a different address - see old profile


Inspection carried out on 15 December 2014

During a routine inspection

This unannounced inspection took place on 15 December 2014.

Haringey Respite Outreach Service provides personal care to people with a learning disability who live in their own homes. The service is provided to people living with their family and to four people living in a supported living house.

The previous inspection was in December 2013 when the service had recently opened. At that inspection we found the service was meeting all the standards that we assessed.

There was no 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. There had been a number of changes in registered manager and area manager in the last year. The lack of continuity led to the service not being well managed.

Two people using the supported living service told us they liked the service but the other two had been removed from the service by their relatives due to concerns about the quality of care. The relatives of people using the service gave mixed feedback. Some thought it was good and said their relative was happy with the care and support provided and others said they were not satisfied with the quality of the service.

There had been an incident in the supported living house where staff had not followed proper procedures to safeguard a person from harm. The person sustained an injury which the service did not respond to or report appropriately.

Although the provider was aware of people’s needs it was not ensuring that people always had the right support they needed with eating.

The supported living service was not providing a person centred service. Some aspects of the service were not based on each person’s preferences, including food and activities.

Staff were not supported appropriately with training and supervision to ensure that they were enabled to deliver good quality care.

The provider was not monitoring the quality of the service appropriately or assessing risks regularly.

Staff had formed good relationships with people who said they liked the staff. People using the service for support to go out were satisfied with the service.

At this inspection there were breaches of regulations in relation to safeguarding people from abuse, supporting staff, support with eating and drinking, care and welfare, and quality assurance. You can see what action we told the provider to take at the back of the full version of the report.

Inspection carried out on 20, 22 December 2013

During a routine inspection

The inspection was completed over two days. During the first day we were able to speak with the team manager and the team leader. We were able to assess the provider�s policies and procedures and read files of four support workers and four people who used this service.

On the second day we were able to communicate non-verbally with four people who used the service in their own home. We were also able to speak by telephone with two relatives of people who were using the service.

We saw that people were treated with respect and dignity. We noted that care plans had been written using pictorial aids and that the provider had taken steps that ensured people had been able to input into their respective care support plans.

People told us the care they received was good; they told us they were happy with their care workers. Comments included that staff were "lovely" and "I feel supported."

Staff who we spoke with were knowledgeable with regard to the forms of abuse that could occur in people�s homes and knew how to escalate any concern. This ensured people were kept safe.

Staff were appropriately supported and trained before they commenced employment. Training records confirmed that the provider ensured that staff received regular supervision and support.

The provider had a robust complaints policy and procedure that staff and people were aware of.