Background to this inspection
Updated
23 February 2018
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 comprehensive inspection was carried out by one adult social care inspector on 15 January 2018 and was announced. The provider was given 48 hours’ notice because we wanted to make sure the registered manager and staff would be available to speak with us.
Before the inspection the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the services, what the service does well and improvements they plan to make. We also reviewed information we held about the service in the form of notifications received from the service.
We spoke with six relatives, four members of staff, the registered manager and the assistant manager. On the day of the inspection we were unable to talk to the people who used the service due to their range of complex needs. We contacted six professional visitors to seek their views of the service. We also contacted the local Healthwatch team and the local commissioners of care to find out what they thought about service. We did not receive any negative comments. We looked at records held by the service, including four care plans, three staff files, audits, training records, policies and procedures and team meeting minutes.
Updated
23 February 2018
Royal Mencap, Crawford Street, provides a short stay respite service for adults with a learning disability. The home is a single storey building with ramped access and a number of adaptations to meet the needs of the people who use the service. Accommodation comprises of single bedrooms and spacious communal areas. The home is close to Bolton town centre and is within easy reach of local amenities.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. By following these principles, services can support people with learning disabilities and autism to live as ordinary a life as any other citizen. Registering the Right Support CQC policy.
At the last inspection the service was rated Good. At this inspection we found the service remained Good.
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.
People's relatives told us they were confident that people were safe during their stays at the service.
Risks to people's health and well-being were identified, planned for and managed. There were sufficient competent and experienced staff to provide people with appropriate support when they needed it.
People received care from staff who knew them well. Staff treated people with kindness, dignity and respect.
There were appropriate systems in place to ensure the safe administration of people’s medicines.
People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
Relatives were positive about the care and support provided.
People were supported to maintain good health and had access to health and social care professionals when necessary.
Relatives knew how to make a complaint and were sure they would be listened to and have any concerns acted upon.
The registered manager, assistant manager and staff had created a warm welcoming atmosphere for people who used the service and their friends and families. There were close relations with social and healthcare professionals and the quality and safety of the service was reviewed regularly.