Background to this inspection
Updated
6 May 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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 comprehensive inspection took place on April 04 2017 and was unannounced. The inspection was undertaken by one inspector, over one day. As part of the inspection we looked at information we already had about the provider. Providers are required to notify the Care Quality Commission about specific events and incidents that occur including serious injuries to people receiving care. We refer to these as notifications. We reviewed the information from notifications to help us determine the areas we wanted to focus our inspection on. We also requested feedback from the local authority who purchase this service.
We visited the home and met all three people currently living at the home. Some people living at the home were unable to speak with us due to their health conditions. We used our Short Observational Framework for Inspection (SOFI) and spent time in communal areas observing how care was delivered. Using this tool helped us to understand the experience of people who could not talk with us.
During our inspection we looked at parts of two people’s care plans. We looked at the systems in place to check medicines were managed and administered safely. We looked at the recruitment records of two staff. We looked at the checks and audits undertaken by the registered manager and registered provider to ensure the service provided was meeting people’s needs and the requirements of the law. We received feedback from two health professionals that support people living at this home, and two relatives. We spoke with four members of staff and the registered manager.
Updated
6 May 2017
60 Raddlebarn Road is a care home for up to four people who have a Learning Disability. At the time of our inspection three people were living at this home. At the last inspection in September 2014, the service was rated Good. At this inspection we judged that the service provided remained Good.
People received support to maintain their safety and well-being. Adequate numbers of staff had been employed following robust recruitment checks to ensure they were suitable to work in adult social care.
Risks relating to people’s healthcare needs and lifestyle had been assessed. Staff were aware of the support people needed in these areas.
People required the support of staff to manage their medicines. Staff undertaking this role had been trained and assessed to be competent. The systems to manage and check the medicines were good.
Staff had received training and support to ensure they were aware of people’s needs and how to meet them. People received the help they required to maintain good health, to attend health appointments and to eat and drink enough to maintain good hydration and nutrition.
People were supported to have maximum choice and control of their lives and staff supported people in the least restrictive way possible. The policies and systems in the service supported this practice.
Many of the staff employed at the home had worked with people for a long time. They had built up trust and knowledge of the people they were supporting over this time. The more experienced staff shared their knowledge with newer members of staff to help them get to know people.
A range of activities and opportunities were provided each day that were tailored to each person’s needs and preferences. People were encouraged to develop skills related to independent living such as making simple meals and drinks, and helping staff with laundry.
As far as people wished and were able they were involved in developing and reviewing their care plans. When people could not contribute verbally to this process staff had involved people that knew the person well and used their knowledge of the person to plan care that they felt was in the person’s best interest and best fitted their known preferences and wishes.
We received consistent feedback that the home was well run, and that the registered provider was supportive and promoted good practice within the organisation. The registered manager had stayed up to date with changes and developments in adult social care, and in the specific health care needs that people living at this home experienced. This ensured care was always delivered in line with best practice. The registered manager and registered provider had a wide range of checks and audits in place that ensured the on-going safety and quality of the service. These had been effective at providing assurance that the service remained good, and that the service was meeting people’s needs and all of the fundamental standards.
Further information is in the detailed findings below