Archived: Ronak Home

Updated 9 November 2015

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 28 August 2015 and was unannounced.

The inspection was carried out by an inspector, a pharmacist inspector, a specialist professional advisor who was a nurse with knowledge of needs of people with learning disabilities

Prior to the inspection we reviewed the information we held about the service. This included information sent to us by the provider, about the staff and the people who used the service. Before the inspection the provider completed a Provider Information Return (PIR). This 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 spoke with the local safeguarding team and a GP to obtain their views.

During the visit, we spoke with three people who used the service, two visitors, five care staff and the registered manager. We spent time observing care and support in communal areas.

We also looked at a sample of seven care records of people who used the service, nine medicine administration records, three staff records and records related to the management of the service.

Updated 9 November 2015

This inspection took place on 28 August 2015 and was unannounced. At the last inspection in December 2014 we found breaches of the legal requirements. This was because there was medicines were not being managed safely. People worked risk of receiving unsafe or inappropriate care and support as there had not been an assessment of their capacity to make decisions in line with the Mental Capacity Act 2005. Verbal complaints had not been recorded by the provider and they were not able to show how they had responded to these complaints. Care plan audits had not been carried out and this meant that where people's needs had changed this had not been recorded in their care plans. At this inspection we found improvements had been made and that they now met the previous legal breaches.

Ronak Home provides accommodation, care and support for ten people with a learning disability or people on the autistic spectrum. There were 9 people using the service on the day of our inspection.

The home 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.

Staff understood people’s rights to make choices about their care and the requirements of the Mental Capacity Act 2005 and Deprivation of Liberty safeguards.

There was an accessible complaints policy which the registered manager followed when complaints were made to ensure they were investigated and responded to appropriately.

Staff were available in sufficient numbers meet people's needs. Staff knew how to keep people safe. Staff knew how to identify abuse and the correct procedures to follow if they suspected that abuse had occurred.

People were kept safe from the risk of abuse. Risks to people were identified and staff took action to reduce those risks. People were provided with a choice of food.

There were systems in place to ensure that people consistently received their medicines safely, and as prescribed.

Care was planned and delivered in ways that enhanced people’s safety and welfare according to their needs and preferences. Staff understood people’s preferences, likes and dislikes regarding their care and support needs.

People were treated with dignity and respect. People using the service, relatives and staff said the registered manager was approachable and supportive. Monthly audits were carried out across various aspects of the service, these included the administration of medication, care planning and training and development. Where these audits identified that improvements were needed action had been taken to improve the service for people.