Archived: Mr & Mrs H Modile

Updated 26 January 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 24 November 2015 and was announced. The provider had 48 hours’ notice because the provider is often out during the day; we needed to be sure that someone would be in. One inspector carried out this inspection.

Before the inspection, we reviewed information we held about the service, this included notifications sent to us by the service. A notification is information about important events, which the service is required to send us by law.

At the time of the inspection, we were unable to speak with the people living at the service. One person was out of the service for the day and the other people chose not to speak with us. We spoke with the provider and two care workers. We completed general observations of the service, reviewed three people’s care records, and other records regarding the maintenance of the building and management of the service.

After the inspection, we asked for but did not receive feedback from social care and health professional.

Updated 26 January 2016

This inspection took place on 24 November 2015 and was announced. The service registered as Mr & Mrs H Modile is known as Laglin House. The service provides accommodation and personal care for up to four people who have mental health needs. At the time of the inspection there were three people using the service.

At the last inspection on 8 August 2013, the service was meeting the regulations we inspected.

There was no registered manager in post. The previous registered manager was deceased and a replacement manager was not recruited because the provider was permanently closing the service. 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.

At this inspection, we found four breaches of regulations. These breaches relate to person-centred care, safe care and treatment, good governance and staffing.

People had risk assessments in place but these were not always up to date and did not provide guidance for staff on how to manage the risks. People and their relatives were involved or contributed to an assessment of their care needs. However, they did not given opportunities to make decisions on how they were to receive care and support.

Training did not equip staff in their caring roles. Appraisals for staff were not completed and the supervision records we saw had not identified areas for professional development or training needs.

The provider did not provide daily management or accountability of people, staff, and the service.

The service did not have routine health and safety checks or quality assurance systems in place. There were no plans in place to develop or improve the service because the provider planned to close it permanently.

Staff respected people’s dignity and privacy. People were cared for by staff who knew them and their likes and dislikes. Staff encouraged people to be as independent as possible and supported them to maintain relationships with people that mattered to them. Staff reviewed people’s assessed care needs and developed care plans to meet them. People had sufficient food and drink, which met their needs and preferences.

Sufficient numbers of staff were available to meet people’s care needs. People had access to health care services and had medicines administered safely as prescribed. People consented to care and support provided by staff. The registered provider had an understanding of their responsibilities under the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS).

You can see what action we told the provider to take at the back of the full version of the report.