The Care Quality Commission
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Archived: Turning Point - Manor Road

Overall: Good read more about inspection ratings

7 Manor Road, Stratford Upon Avon, Warwickshire, CV37 7EA (01789) 263632

Provided and run by:
Turning Point

All Inspections

8 January 2016

During a routine inspection

This inspection took place on the 8 January 2016 and was unannounced.

Manor Road provides care and accommodation for up to five people with a diagnosis of a learning disability. At the time of our visit there were four people who lived in the home. Some people also had physical care needs.

There was a registered manager at the time of our 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 was a relaxed atmosphere in the home. People were settled and happy, and were supported to take part in a range of activities of their choice. People were supported to maintain relationships that were important to them.

There were enough staff on duty to meet people’s needs both inside the home and outside in the community. People were confident around staff, and staff understood their responsibility to make sure people were kept safe. Staff told us they would not have any hesitation to report any observed or suspected abuse. Risks to people’s health and welfare were well managed with guidance for staff on how to safely support people.

People received their medicines as prescribed. Appointments with external healthcare professionals were arranged to support people’s health needs when required.

Staff felt well supported in their roles through a process of induction, training and supervision. The registered manager worked alongside staff on a daily basis and ensured staff had the competence to carry out their work to the required standard.

The registered manager understood their responsibilities under the Mental Capacity Act and the Deprivation of Liberty Safeguards (DoLS) to ensure people were looked after in a way that did not inappropriately restrict their freedom.

Good communication systems in the home supported staff to respond to changes in people's needs. Staff kept very detailed daily diaries which provided information staff could use when assessing people’s care needs.

The registered manager understood the needs of the people who lived at the home and carried out a system of checks and audits to ensure they continued to receive good quality effective care that was responsive to their individual needs.

11 November 2013

During a routine inspection

Some people had complex communication needs and were not able to verbally communicate with us. We therefore used a number of different methods to help us understand the experiences of people who used the service. This included talking with people, looking at records and observing the care being delivered.

We saw that care staff knew people well and spoke with them in a friendly, respectful way.

We saw that staff were sensitive to people's needs and offered them support when assistance was requested or indicated.

A family member we spoke with told us, "On the whole, X is very well'.

People were supported to take part in recreational activities that were interesting and stimulating so that they had a meaningful lifestyle. People were able to choose what activities to be involved in. This included shopping, social clubs, day centres and the option to attend college.

Systems were in place to ensure that medicines were managed appropriately on people's behalf.

There were sufficient staff available to meet people's care and support needs. Staff were positive about working for the organisation. We were told they had received the relevant training to provide effective care for people who used the service.

We saw that complaints processes were in place for people to use if they were not happy with the service provided.

31 August 2012

During a routine inspection

On the day of our visit we met with the four people using the service, spoke with one of them, the manager and two members of staff on duty at the home. We used a number of different methods to help us understand the experiences of people using the service. This was because the people using the service had complex needs which meant they were not able to tell us what it was like living at Manor Road.

We found that staff knew people as individuals and understood their personal needs and ways of communicating those needs. Staff treated people kindly and respectfully and included them in conversation, asking for their input. People appeared relaxed and happy in the company of the staff.

We looked at the care planning documentation. We found that care plans were detailed and demonstrated that staff understood each person as an individual. Risk areas were identified, with plans in place on how to minimise and manage these.

People who were able to, told us they enjoyed staying at the home and liked it there. One person said 'This is my home.'

Discussions with staff clearly evidence they were committed to their work and strived to promote positive outcomes for the people in their care.

The two staff members we spoke with told us they would recommend Manor Road as a good place to work.

The home had procedures in place for monitoring the service they provided. This should ensure that any problems are identified and improvements, where required are made.

16 November 2011

During a routine inspection

This was the first visit to this service since the registration of the new manager in January 2011.

On the day of the visit on 16 November 2011, we spoke with the manager, staff and those people living in the home who were able to verbally communicate. There were no visitors, either relatives or health care professionals, in the home on the day of the visit and for much of the day people living there went out for lunch and a bowling trip.

We asked people about the care and support provided to them and looked at the care planning documentation to see what guidance was given to staff, to ensure that people received their care as they required to meet their needs and identified ways, where appropriate, to promote them being independent.

Due to the needs of some people living at the home who were unable to verbally share their experiences, we spent some time observing the support given to people and how they spent their day. We observed how staff offered people care and support and how staff spoke with them. We found that staff treated people kindly and respectfully and demonstrated that they knew them as individuals and understood their personal needs.

We saw that care planning documentation focused on the person as an individual and identified areas of personal concerns, things that made people happy or sad and identified strengths as well as support needs. Care planning identified areas of risk and where people required urgent intervention to keep them safe.

People living in the home told us that they were happy. 'I like it here, I need support and I get it.' We asked people about the staff, their attitude to them and if they spoke to them in the way they wanted. We were told that the staff were 'Ok', 'kind' and 'sometimes bossy.' People knew who their key worker was and said that they enjoyed speaking with them and they were 'helpful.'

We asked people about the quality of the food and looked at the menus. People told us the food was 'very nice.'

People said that they were very happy with the environment; their personal rooms and communal areas.

We asked about making complaints and what people would do if they felt unhappy about anything. We were told that they would talk to the manager or the staff if they were unhappy.

We saw that the staff team were very stable and most of the staff had worked there for a number of years. Staff spoken with told us that they would recommend working there. They said that there was a 'good friendly atmosphere.' They said that communication was good and that they always knew what changes had taken place with people's care needs.