Background to this inspection
Updated
15 December 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.
Our inspection was unannounced and took place on 11 November 2015. The inspection was carried out by one inspector. The service provided support to adults who went out into the community every day. Because of this we started our inspection early morning so that we could meet and/or speak with the people who lived there and staff before they went out.
At our last inspection in 2013 the provider was meeting all of the regulations that we assessed
We reviewed the information we held about the service. Providers are required by law to notify us about events and incidents that occur; we refer to these as ‘notifications’. We looked at the notifications the provider had sent to us. We asked the local authority their views about the service provided. We used the information that we had gathered to plan what areas we were going to focus on during our inspection.
We met and spoke with the person who lived at the home. We spoke with one care staff, a relative and the registered manager. We looked at the person’s care files, medicine records, recruitment processes, training and supervision records for two staff. We also looked at complaints, safeguarding and quality monitoring processes. We viewed provider feedback forms that had been completed by the person.
Updated
15 December 2015
Our inspection was unannounced and took place on 11 November 2015.
The provider is registered to accommodate and deliver personal care to three people who may live with a learning disability or associated need. One person lived at the home at the time of our inspection.
The manager was registered with us as is required by law. 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.
Medicine systems demonstrated safety and confirmed that the person had been given their medicines as they had been prescribed.
The person felt safe living at the home. Risk assessments were undertaken and updated to prevent accidents and injuries.
The person was supported by an adequate number of staff who met their needs in a kind and caring way.
Staff knew the procedures they should follow to ensure the risk of abuse was reduced. Recruitment processes ensured that unsuitable staff were not employed.
Staff received induction, training, and the day to day support they needed that ensured that they met the person’s needs and kept them safe.
The person felt that staff encouraged them to make decisions about their care. Their relative was involved in how their care was planned and delivered.
Staff understood the requirements of the Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS). They provided care and support in a way that did not unlawfully restrict the person and ensured the person’s best interests.
Staff supported the person with their nutrition and dietary needs to promote their good health.
The person received assessments and/or treatment when it was needed from a range of health care and social care professionals which helped to promote their health and well-being.
Systems were in place for the person and their relative to raise their concerns or complaints.
The person, their relative and the staff felt that the quality of service was good. The management of the service was stable. Audits were undertaken to determine shortfalls or to see if changes or improvements were needed.