Micado Homes - Drayton Lodge

Micado Homes – Drayton Lodge is a care home without nursing for up to 6 adults with mental health needs. The service is the only location for this limited company. At the time of the inspection, 5 people were living at the service.

People’s experience of using this service and what we found

People were happy living at the service. They felt well supported. Their needs were met, and they had good relationships with the staff and each other. People were supported to develop skills and be involved in shopping, cooking and a variety of activities inside and out of the home.

The staff worked closely with external professionals to assess, plan for, monitor and meet people's needs. They empowered people to understand and monitor their own care and to make decisions.

Risks to people's safety and wellbeing were assessed and planned for. People received their medicines safely and as prescribed. The environment was clean and well maintained.

There were appropriate systems for recruiting, training, and supporting staff. Staff had a good understanding about people's needs and providing care in line with best practice.

There were effective systems for monitoring and improving the quality of the service. These included asking for people's views and supporting them to make decisions about the house. There were also systems for investigating and responding to complaints, incidents and other adverse events.

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 information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 18 July 2018).

Why we inspected

The inspection was conducted based on the date of the last inspection.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

At our last inspection on 8 June 2016, 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.

Micado Homes Drayton Lodge is run by a small private organisation. The provider owns and manages one other service which does not fall under the scope of registration. Micado Homes Drayton Lodge is a residential care home for 6 people with mental health needs and/or people who have experienced substance misuse. It is a residential house in the community and has two floors and a garden for people to use. There were six people living in the service at the time of the inspection. Two people were on social leave. 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.

People felt supported and satisfied that their needs were being met. Staff were caring and treated people with dignity and respect. People were supported to raise concerns and make suggestions about where improvements could be made.

People lived in a safe environment which was appropriately maintained. There were procedures in place to safeguard them from the risk of abuse. People received their medicines in a safe way and as prescribed.

There were systems and processes in place to protect people from the risk of harm. There were enough staff on duty to meet people's needs and checks were carried out during the recruitment process to ensure only suitable staff were employed. People were supported by staff who were suitably trained, supervised and appraised.

People had been involved with planning their own care and their views were regularly sought. People were supported to have maximum 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.

The provider assessed people's care needs and delivered effective care and support to achieve positive outcomes for people. People's nutritional and healthcare needs had been assessed and were met.

The staff worked with other community health and social care professionals to make sure people's physical and mental healthcare needs were being met.

The home was clean and the provider had effective systems to protect people by the prevention and control of infection.

The provider had effective systems in place to monitor the quality of the service and ensure that areas for improvement were identified and addressed.

The registered manager kept themselves informed of developments within the social care sector and ensured important information was shared with the staff team.

Micado Drayton Lodge provides support and accommodation for up to six adults. The service is for men who have various needs, including mental health needs and might require support with substance misuse issues. There were three people using the service at the time of the inspection.

There was a registered in post who was also the provider. A registered manager is a person who has registered with the Care Quality Commission 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.

There was an established and experienced small staff team who had a good knowledge of people’s needs and preferences. They were given support by means of regular training, supervision and appraisal.

We found the service to be meeting the requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). DoLS provide a process to make sure that people are only deprived of their liberty in a safe and correct way, when it is in their best interests and there is no other way to look after them. Staff understood people's right to make choices for themselves and had been trained on this subject.

People told us they felt safe at the service. Staff received training on safeguarding adults from abuse and there were policies and procedures in place.

People lived in an environment which was appropriately maintained and safe.

The provider and support staff had assessed and recorded people’s individual care and support needs.

People had been asked to view and consent to their care plan and other aspects of their care. They said they were encouraged to make choices about their lives and to be as independent as possible.

Checks were carried out to make sure staff were suitable to work with people using the service and there were enough staff to meet people's needs.

People received the medicines they needed safely.

People were given the support they needed to meet their nutritional needs.

People’s health needs were regularly assessed and managed.

People were supported to use the full range of community resources.

There was an appropriate complaints procedure in place. People told us they knew about the complaints procedure and were confident the registered manager would respond to any concerns they might have.

Systems were in place for auditing the quality of the service and for making improvements.

The inspection was carried out by an inspector during one day. This helped answer our five questions;

' Is the service safe?

' Is the service effective?

' Is the service caring?

' Is the service responsive?

' Is the service well led?

Below is a summary of what we found. If you want to see the evidence supporting our summary please read the full report.

Is the service safe?

Care plans had details of people's needs and how these were to be met. These plans were regularly reviewed with the person using the service. Risk assessment related to the care and support being provided and were regularly reviewed to ensure people's individual needs were being met safely.

The medicines prescribed to people using the service were stored in a secure appropriate manner. We saw that the Medicines Administration Records (MAR) charts for all the people using the service were correct and information was clearly recorded.

The service had policies and procedures in relation to the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards (DoLS). We found the service was meeting the requirements of the Deprivation of Liberty Safeguards.

Is the service effective?

People received effective support from staff who were trained and supported by the manager. We saw that both permanent staff and agency care workers completed a range of mandatory courses each year to meet the support needs of an individual.

People using the service were involved in the development and review of their care plans so they understood and agreed to the care planned for them.

Is the service caring?

People were supported by kind, attentive staff who treated them with respect and dignity. We saw people were supported and encouraged to be actively involved in their daily care and activities. People we spoke with said they felt safe and were treated with respect.

Is the service responsive?

People we spoke with told us that they do a range of activities that were based on their individual interests and personal development plans. One person said "I have been writing songs for years and now I get to go to a music studio and they help me record my songs." Other activities included learning to drive, visiting the gym and working at a voluntary organisation. The options for activities were identified to meet the needs and wishes of each person.

We saw a copy of the complaints policy was included in the service user guide which was given to people when they moved in. The people we spoke with were aware of how to make a complaint. The manager explained to us that people could also discuss any concerns with their solicitor, care coordinator and care manager.

Is the service well led?

The service had a quality assurance system in place. Records seen by us showed that any issues identified in relation to the quality of the care provided. As a result the quality of the service was continuingly improving.

People using the service could complete a satisfaction survey every three months to provide feedback on their care and support they received. The results were used to identify any areas for improvement.

Regular audits of the care plans and risk assessments were carried out and any identified actions had a completion date. This enabled people to be involved in the decisions regarding the support they received and for staff to identify if the care provided met the needs of each individual using the service.

People were treated with dignity and respect and were given the support they needed to lead independent lives. People said "it's geared up to get you ready for the community and live a normal life" and "most of the time I can be independent but we are encouraged to do things together too."

People's needs were assessed and care and treatment was planned and delivered in line with their individual care plan. Care plans had been developed to meet people's needs and reviewed regularly ensuring they were up to date.

People were protected from the risk of abuse because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.

The provider has taken steps to provide care in an environment that is suitably designed and adequately maintained.