Hayling Road

Updated 20 February 2019

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.

This was a comprehensive inspection carried out on 26 November 2018. The inspection team consisted of one adult social care inspector and an assistant inspector from the Care Quality Commission (CQC).

Before the inspection we reviewed information we held about the service. This included the statutory notifications the CQC had received from the service and the Provider Information Return (PIR). Statutory notifications provide information on changes, events or incidents that the service is legally obliged to send to us. A PIR is a form that asks key information about the service, what the service does well and improvements they plan to make.

Prior to the inspection we contacted the local authority and Healthwatch. This helped us determine if there might be any specific areas to focus on during the inspection. The local authority did not have any concerns about the service. Healthwatch had not received any feedback about the service. Healthwatch is the national independent champion for consumers and users of health and social care in England.

On the day of the inspection visit we spoke with the registered manager, deputy manager and four support workers. We also spoke with two support workers on the telephone. During the inspection we completed a Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We spoke with five family members by telephone.

We looked in detail at five care plans and associated documentation; four personnel files; supervision and training records; audit and quality assurance documents; policies and procedures; and records relating to the safety of the building, premises and equipment.

Updated 20 February 2019

The inspection took place on 26 November 2018 and was unannounced.

Hayling Road is one of the services run by Stockdales of Sale, Altrincham and District Limited, a registered charity providing person centred care and support to people with complex care needs. Hayling Road is registered with the Care Quality Commission (CQC) to provide care and accommodation for up to seven people.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

Staff received safeguarding training and knew how to keep people safe and raise concerns if they suspected someone was at risk of harm or abuse.

People had comprehensive risk assessments which were reviewed and updated timely to meet people’s changing needs. This ensured staff had access to the relevant information and guidance to mitigate risks.

Staffing levels remained consistent and the service benefited from a stable workforce. Relatives and staff told us there were sufficient numbers of staff to meet people’s needs.

The management of medicines was safe. There were appropriate arrangements in place to ensure that medicines had been ordered, stored, administered and disposed of appropriately.

People who used the service at Hayling Road continued to receive effective care and support from staff that were well trained and competent to carry out their roles. This included training and ongoing development of staff to meet the needs of people living with complex needs.

People were supported in line with the principles of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS).

People were encouraged to make decisions and choices about their care and had their choices respected.

People's consent to care and treatment was sought prior to care being delivered.

People were encouraged to maintain a healthy nutritionally balanced diet and had access to sufficient amounts to eat and drink, at times that suited them.

People's health care needs were monitored and maintained; people had access to health care services as and when needed.

People continued to receive care and support from staff that were kind, caring and compassionate.

People were treated with dignity and respect and had their independence promoted by staff that openly expressed their fondness for the people they cared for and supported.

Support plans were person centred and tailored to meet people's individual needs. People were encouraged to be involved in the development of their care plans, which were updated regularly to reflect people's changing needs.

A variety of activities were provided and staff demonstrated a good understanding of people’s needs and adapted activities to reflect people’s individual interests.

The provider had a complaints procedure in place and people felt confident in raising concerns or complaints to staff and the registered manager.

Staff told us the service was well-led and a good place to work. We were told by staff and relatives of people who used the service that the registered manager and deputy manager were visible, had an open-door policy and were approachable. This meant people, their relatives and staff could meet with members of the management team as and when they needed.

There was an effective system for audit and quality assurance to monitor the service provided. Audits or checks were completed by the registered manager and provider.