Archived: Attwood Street

Updated 11 January 2019

The inspection

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.

Inspection team

This inspection was carried out by one inspector.

Service and service type

Attwood Street is a care home. People in care homes receive accommodation and

nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

We gave the service 48 hours’ notice of the inspection visit because the service was small and people could often be out during the day and we needed to be sure that someone would be in.

What we did

Prior to the inspection we reviewed information we held about the service since their last inspection. This included notifications received from the provider about deaths, accidents/incidents and safeguarding alerts which they are required to send us by law. We also contacted the local authority who commissioned services from this provider. They raised no concerns about the service.

During the inspection people were unable to share their views about the support they received so we spoke with three relatives. We spoke to two staff members and the registered manager who was available throughout the inspection.

We looked at the care and review records for one person who used the service. The management records for how people were administered medicines as well as a range of records relating to the running of the service. This included incident and accident monitoring as well as complaints.

Updated 11 January 2019

What life is like for people using this service:

• People continued to receive safe care. People were safe and staff knew how to keep them safe from harm. The provider had a recruitment process to ensure they had enough staff to support people safely. People received their medicines as it was prescribed. Staff followed infection control guidance and had access to personal protective equipment. Accidents and incidents were noted and trends monitored to reduce the amount of accidents.

• People continued to receive effective care. Staff were supported and had the skills and knowledge to meet people’s needs. People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice. People’s nutritional needs were met and they received enough to eat and drink to ensure they had a healthy diet. People accessed health care when needed.

• People continued to receive care from staff who were kind and caring. Staff supported and encouraged people to be involve in how decision were made about their support. Relatives took a proactive role in the decision-making process to support people who were unable to communicate their views. Staff were caring, compassionate and kind. People’s privacy dignity and independence were respected by staff.

• People continued to receive responsive care. People’s support needs were assessed and planned with their or their relative’s involvement to ensure they received the support they needed. People’s support was individualised and reviewed with people or their relative’s involvement. People were supported to take part in activities of interest and their preferences, likes and dislikes were known to staff. The provider had a complaint process which people were aware of to share any concerns.

• The service continued to be well managed. The environment was welcoming, warm, comfortable and clean. The registered manager was known and made themselves available. People’s relatives shared their views by completing a provider questionnaire about the service. Spot checks and audits were taking place to ensure the quality of the service was maintained.

More information is in the Detailed Findings below.

Rating at last inspection:

• Rated Good (Report published 27/01/2016).

About the service:

• Attwood Street is a small care home providing personal care and accommodation for up to five people who have a learning disability or sensory impairment. At this inspection five people lived within the service.

Why we inspected:

• This was a planned inspection based on the rating at the last inspection. The service remained Good overall.

Follow up:

• We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.