Background to this inspection
Updated
1 May 2020
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Mrs Della Averley - 14 Phoenix Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
The service is owned and managed by a provider who is an individual and who is in day-to-day management of the service. They have been assessed as fit to carry on the service and a registered manager was not required. 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.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to speak with us.
What we did before the inspection:
We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with one person about their experience of the care provided. They also showed us around their home. We spoke with two members of staff including the provider and a senior care worker.
We reviewed a range of records. This included two people's care records and medication records. We also
looked at two staff files around staff recruitment, supervision and their training records. We reviewed
records relating to the management of the service. This included staff meetings, resident meetings and quality assurance records.
After the inspection
We telephoned two relatives to gain their feedback about the quality of care provided.
Updated
1 May 2020
About the service
Mrs Della Averley - 14 Phoenix Road is a residential care home providing personal care to two adults with a learning disability. Some people also have mental health problems. The service can support up to four people.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service
Improvements had been to the way new staff were recruited and how records were stored. New staff were recruited using robust processes to make sure they were suitable to support people. Records relating to people’s care and staff training were kept so they were easily accessible to staff when they were needed.
People received care and support based on their needs and preferences. Staff knew people's life history, what people liked to talk about and how people liked to spend their time.
Trusting and positive relationships had developed between people and staff, so people felt safe. Relatives described the service as, “Like home from home” and “Like an extended family”.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
People led active, busy lives which met their individual choices and interests. People were familiar with their local community and used its resources. Staff understood the importance of this for people and provided the support people required while promoting and maintaining independence. This enabled people to achieve positive outcomes and promoted a good quality of life.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
There was a small staff team who communicated well with one another to provide consistent and personalised care. Staff undertook regular training and received support to enable them to carry out their roles effectively.
People had access to health care services. Staff recognised any changes in people’s mental health so immediate actions could be taken to reduce their anxieties. People were helped with their medicines according to their assessed needs and capabilities.
People and their relatives were consulted and kept informed about the running of the service. People felt confident to raise any concerns. When concerns had been, they had been actioned quickly to people’s satisfaction.
The provider worked as part of the care staff team. They used systems to regularly check the safety and quality of the service, which included feedback people and relatives.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update:
The last rating for this service was Requires Improvement (published 14 February 2019) and there was one breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the rating at the last inspection.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.