• Care Home
  • Care home

Archived: Median Road Care Home

Overall: Good read more about inspection ratings

25 Median Road, London, E5 0PF (020) 8356 8710

Provided and run by:
London Borough of Hackney

All Inspections

9 December 2014

During a routine inspection

This inspection took place on 9 December 2014 and was unannounced. At the last inspection which took place on 3 and 4 June 2014 the service had not met the regulations we inspected in relation to respecting and involving people, safeguarding people from abuse, staff support, complaints and quality monitoring. The provider completed an action plan detailing what improvements would be made to improve the quality and safety of the service.

Median Road Care Home is a care home providing a range of short-term interim, respite and intermediate care for up to 37 people. At the time of inspection there were 17 people who were still using the service, all of whom had dementia.

There was a registered manager at 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 and associated Regulations about how the service is run.

At this inspection we found that the provider was meeting all the regulations inspected.

People told us they felt safe. Staff followed procedures to protect people from the risk of abuse and neglect and knew what action to take if they had concerns about a person’s welfare. Health and safety risks were assessed and action taken to reduce these whilst promoting people’s independence.

Staff were knowledgeable about how to meet people's needs. They received regular training and supervision and had the knowledge skills they needed to carry out their roles and responsibilities.

The provider followed procedures under the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards processes to provide legal protection for people who lacked mental capacity to decide about specific issues, such as where they lived.

There was good joint working with health and social care professionals.

People said staff were caring and treated them with dignity and respect. Staff were attentive to people’s needs and promptly assisted them when they needed. The service had taken steps to involve and consult people and their relatives about their care. People’s needs were assessed at the point of admission. Their care plans outlined the support they needed and people received support in line with their plans. People had access to a range of health and social care professionals to plan and meet their needs. Activities had increased providing people with more choice about how they spent their time. People knew how to complain and people’s views and experiences were taken into account and listened to.

The service was well-led. Staff said they felt supported by the manager and the organisation, despite significant changes within the service. The service was regularly monitored by the registered manager to check the quality and effectiveness of the service, to improve the standard of the services provided to people and ensure their health and welfare.

3, 4 June 2014

During a routine inspection

Below is a summary of what we found. The summary is based on our observations during the inspection, speaking with people using the service, their relatives, the staff supporting them and from looking at records. We looked at our five questions; Is the service caring? Is the service responsive? Is the service safe? Is the service effective? Is the service well led? If you want to see the evidence supporting our summary please read the full report.

Is the service safe?

Staff did not always follow procedures to protect people from the risk of abuse. This meant the provider could not demonstrate that people who used the service were protected from the increased risk of abuse.

CQC is required by law to monitor the operation of the Mental Capacity Act 2005 Deprivation of Liberty Safeguards (DoLS) and report on what we find. We found that the service was compliant in seeking consent from people who used the service and no one was being deprived of their liberty.

Is the service effective?

Care workers were knowledgeable about how to meet people's needs. People's needs were assessed at the point of admission and their views were included in their assessments. Each person had an individual plan outlining the support they needed, although plans did not always outline people's needs and wishes in full and how to meet them. People's needs were met overall, however the provider could not always demonstrate consistency in the quality of care provided.

Is the service caring?

Whilst people spoke highly of the support they received from staff, we found examples where people were not consistently treated with dignity and respect.

Is the service responsive?

People had access to a range of health and social care professionals to meet their needs. Whilst there were a range of suitable activities for people who required rehabilitation, there were a lack of suitable activities for other people who used the service. The provider could not demonstrate that the complaints system was effectively implemented. There was a lack of evidence that comments and complaints people or their relatives made were always responded to or acted on to improve their experiences of care and treatment.

Is the service well led?

The provider did not have systems in place to regularly assess and monitor the quality and effectiveness of the service, so as to improve the standard of the services provided to people and ensure their health and welfare. Staff did not receive regular training or supervision. This meant the provider could not ensure that staff had the knowledge skills they needed to carry out their roles and responsibilities.

15 May 2013

During a routine inspection

As part of our inspection we spoke with four people using the service and two relatives of people using the service on the day of our visit. Most of the people we spoke with were happy with their quality of care. Most people who spoke with us said that they were involved in planning their care. Most people told us Median Road Care Home was meeting their care needs. One person told us, 'this place has been very nice. Staff are really helpful and polite. I couldn't ask for anything better." Each person who spoke with us praised staff working in the home. One of the people described staff as "very very good", another person commented, "staff always come and help me immediately."

People were protected from the risks of inadequate nutrition and dehydration.

People were cared for in a clean, hygienic environment.

Most of the people who use the service and their relatives told us there were enough staff on duty and they did not have to wait long for a member of staff to see them, if they needed any assistance.

There were enough qualified, skilled and experienced staff to meet people's needs.

Most of the people who use the service and their relatives told us there were enough staff on duty and they did not have to wait long for a member of staff to see them, if they needed any assistance.

There was an effective complaints system available. Comments and complaints people made were responded to appropriately.

19 September 2012

During a routine inspection

As part of our inspection we spoke with 11 people using the service and one visitor who happened to use the service in the past. All of the people that we spoke with were complimentary about the service. People told us Median Road Care Home was a nice place to stay and that the staff treated everyone with dignity and respect. One person told us, "I keep fit, get well fed, I am happy". Another person said, "they give you everything that you need", "they always look after us very well". The visitor told us, "I would be happy to move back here any day".

1 March 2012

During a routine inspection

All of the people that we spoke to were complimentary about the service. None raised any concerns. Comments included, 'very good, can't think of anything to complain about' and 'the staff are very helpful and polite'. All commented that they liked the food on offer.