Archived: Mrs Mollie Green - 23 Parliament Street

Updated 22 February 2018

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.

Mrs Mollie Green 23 Parliament Street supports people with mental health needs. It is registered to provide care and accommodation for up to 4 people. Accommodation is provided over three floors and the home has 2 lounges, a small kitchen area and a small terrace at the front of the home for people to enjoy. The home is situated close to shops, buses, the beach and the local facilities of Morecambe.

Before the inspection taking place, we spoke with the Local Authority contracts teams, and Healthwatch. Healthwatch is a national independent champion for people who use healthcare services. We received no information of concern.

We reviewed information held upon our database in regards to the service. This included notifications submitted by the registered provider relating to incidents, accidents, health and safety and safeguarding concerns which affect the health and wellbeing of people. We did not request a Provider Information Return from the registered provider before this inspection. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

This comprehensive inspection visit took place on 18 January 2018 and was announced. We gave the service 48 hours’ notice of the inspection visit because the location was a small care home for people who are often out during the day. We needed to be sure that someone would be at the home so we could carry out the inspection visit. The inspection was carried out by an adult social care inspector.

Throughout the inspection process we gathered information from a number of sources. We spoke with two people who lived at the home to gain their views on the service provided. In addition, we spoke with the registered manager and the two registered manager’s relatives who were also paid employees at the home. Following the inspection visit we spoke with a relative and a health professional to gain feedback from them on their opinion of the service.

As part of the inspection process we observed care practices and how staff interacted with people in their care. We did this to try and understand the experiences of people who lived at the home.

To gather information, we looked at a variety of records. This included care plan files related to two people who lived at the home. We also looked at other information which was relative to the service. This included health and safety certification, training records and policies and procedures.

We viewed recruitment records related to the two staff members responsible for providing direct support to people who lived at the home. This included reviewing Disclosure and Barring Service (DBS) certificates for all staff working at the home.

As part of the inspection process we looked around the home in both communal and private areas to assess the environment and check the suitability of the premises. We were unable to access one of the bedrooms due to the person requesting we did not enter their room whilst they were absent from the home.

Updated 22 February 2018

Mrs Mollie Green 23 Parliament Street is registered to provide care and accommodation for up to four people living with mental health conditions. The home has two communal living areas and a dining area. At the time of the inspection visit there were three people residing at the home. People were cared for by a small family unit who provided live in support within the home.

Mrs Mollie Green 23 Parliament Street is a ‘care home’. People in care homes receive accommodation and nursing care as single under one contractual agreement. CQC regulates both the premises and care provided. We looked at both during this inspection.

At this inspection visit carried out on 18 January 2018 we found the service remained Good and met the all relevant fundamental standards. We found the registered provider continued to provide a good standard of care to people who lived at the home.

People who lived at the home were independent and could attend to their own care needs with minimum supervision. We saw that independence was promoted wherever possible at all times.

Staff told us they had known people who lived at the home for a considerable number of years prior to becoming paid employees. They said this contributed to positive relationships being developed and enabled person centred care to be delivered and achieved.

People who lived at the home told us they felt safe and secure whilst living at the home. Staffing was flexible and familiar staff could be called upon when people required assistance with additional unplanned support needs. People who lived at the home told us they were happy with the staffing levels.

Systems were in place to safeguard people from abuse and harassment. The registered provider had developed a person centred approach to risk. Risks were assessed and safety of people was monitored by staff on an ongoing basis.

People who lived at the home told us they were treated with kindness and respect. We observed support being delivered in a sensitive and timely manner. Privacy and dignity was routinely considered by staff.

We reviewed medicines administration and documentation and found this to be safe. People’s skills were taken into consideration and independence was promoted when people were assessed as having the necessary skills to manage their own medicines.

People were encouraged to live active lives. There was a focus on promoting healthy lives through exercise and healthy eating. Cultural needs were identified and addressed by the registered provider. Relationships were encouraged and supported.

We saw evidence of multi-agency working to promote effective care. Health needs were identified and managed with support from staff who worked at the home. We saw evidence of good practice guidelines being referred to when supporting people with specific mental health conditions.

People who lived at the home told us the quality and availability of food was good. People were offered choices to meet their preferences and dietary needs.

We carried out a visual inspection of the home and found it was clean, tidy and appropriately maintained.

People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice. Consent to care and treatment was routinely sought.

People we spoke with told us they were happy with the service and had no formal complaints. During the inspection visit one person commented on how the service could improve. We saw action was taken immediately by the registered manager to ensure improvements were put into place straight away. People were encouraged to discuss and raise any concerns with a member of the staff team on an individual basis.

People who lived at the home told us the service was well led. Staff were aware of their roles and responsibilities and were supported by the registered manager. The registered manager understood the importance of their role and offered advice and guidance to staff working at the home to ensure safe and effective care and support was provided.

People we spoke with and relatives were happy with the service being provided and spoke fondly of the staff team and the registered manager. There was no formal internal quality assurance in place but informal checks were made routinely by all members of the staff team.

Further information is in the detailed findings below.