Background to this inspection
Updated
16 June 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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection team consisted of one inspector and one inspection manager.
Service and service type
Nelson Street is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. 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
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with one person who used the service about their experience of the care provided. We made general observations at the service. We spoke with one staff member.
We reviewed a range of records. This included two people's care records and multiple medication records. We reviewed a variety of records relating to the management of the service, including policies and procedures.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We spoke with the registered manager as he was not available at the time of the inspection. We looked at recruitment and quality assurance records because only the registered manager had access to these.
Updated
16 June 2020
About the service
Nelson Street provides accommodation and support with personal care for up to three adults with mental health needs. At the time of our inspection there were two people using the service.
People’s experience of using this service and what we found
A person told us the service was safe and they trusted the staff. People’s risks had been assessed and plans were in place to minimise the risk of harm. Care records were personalised and reflected people’s preferences. However, the provider was in the process of changing to an electronic system and a new member of staff was using a personal computer to access confidential care records. We have made a recommendation in relation to good governance.
The building was in need of repair and the provider showed us records that maintenance improvements had been scheduled. Communal areas were in need of redecoration such as the wall plaster was peeling near the windows. After the inspection, the provider told us the wall had been repainted since the inspection. We have made a recommendation about the environment of the service.
People received adequate support with their medicines, but the provider needed to include more detail about medicines administered on an ‘as required’ basis. The provider made these changes during the inspection. People told us they had access to healthcare support when they needed it.
A person and staff spoke highly of the management team and reported the service had a positive and open culture. A person told us they knew how to make complaints if they needed to and thought the staff were friendly.
People and staff told us there were enough staff to keep people safe and records demonstrated staff were recruited safely. Staff received training to support them to carry out their roles. People had input into what they drank and ate and were encouraged to eat a balanced diet.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 19 September 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.