Background to this inspection
Updated
15 March 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 12 February 2016 and was unannounced. The inspection team consisted of two inspectors.
Before the inspection we reviewed the information we already held about this service. This included details of its registration, previous inspection reports and notifications the provider had sent us. We contacted the local authority with responsibility for commissioning care from the service to seek their views.
During the inspection we spoke with three people that used the service. We spoke with four staff. This included the registered manager, the director of operations and two support workers. We looked at three sets of care records relating to people that used the service. We examined five sets of staff recruitment, training and supervision records. We saw documentation relating to the recording and administration of medicines, staff and residents meeting minutes and various quality assurance audits. We also looked at some policies and procedures including the complaints and safeguarding adults procedures.
Updated
15 March 2016
This inspection took place on 12 February 2016 and was unannounced. At the last inspection of this service in February 2015 we found there were two breaches of legal requirements. This was because staff did not have any appraisal of their performance and development needs and complaints were not always investigated appropriately. We found during this inspection that improvements had been made and these issues had been addressed.
The service is registered to provide accommodation and support with personal care to a maximum of seven adults with an acquired brain injury. Six people were using the service at the time of our inspection. 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.
The service had systems in place to help safeguard people from the risk of abuse. Risk assessments were in place which included information about how to support people in a safe manner. There were enough staff working at the service to meet people’s needs. Medicines were appropriately stored, recorded and administered.
Staff undertook regular training and had one to one supervision with their line manager. The service worked within the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards. People were able to make choices about their daily lives including about what they ate and drank. People had access to health care professionals as appropriate. However, information about people in the event that they were admitted to hospital was often incomplete.
People told us they were treated with respect by staff. The service promoted people’s privacy, dignity and independence.
People’s needs were assessed before they moved in to the service to determine if it was a suitable placement for them and plans were in place which set out how to meet people’s assessed needs. The service had a complaints procedure in place and people were aware of who they could complain to if needed.
People that used the service and staff told us they found the registered manager to be approachable and supportive. Various quality assurance and monitoring systems were in place, some of which included seeking the views of people that used the service.