Background to this inspection
Updated
2 November 2016
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 inspection took place on 7 September 2016 and was unannounced. The inspection team consisted of one inspector and Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
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 service, what the service does well and improvements they plan to make. We reviewed the PIR and other information we held about the service, which included notifications they had sent us. A notification is information about important events which the provider is required to send us by law. We also contacted the commissioners of the service, and the local Healthwatch to obtain their views about the service provided.
On the day of the inspection we spoke with four people who used the service and one volunteer. We also observed staff interacting with people to help us understand people's experience of the care and support they received. We spoke with the registered manager, deputy manager, two senior support workers, one support planner and the cook. We looked at all or parts of the care records of five people along with other records relevant to the running of the service. This included policies and procedures, records of staff training and records of associated quality assurance processes.
Updated
2 November 2016
We carried out an unannounced inspection of the service on 7 September 2016.
32 Bentinck Road provides accommodation and personal care for up to 23 people. The service provides 24 hour care and support for single homeless people with alcohol dependency or mental health problems. At the time of our inspection there were 21people living at the service.
Bentinck Road is required to have a registered manager in post. 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. At the time of the inspection a registered manager was in post.
People were safe and protected from avoidable harm. Staff ensured people’s safety and were clear about their roles and responsibilities in protecting people from harm and risks associated to people’s needs. Risks to people’s health and welfare were assessed and action was taken to minimise any risk. Sufficient staff were employed to ensure that people were safe and staff had appropriate recruitment checks undertaken to ensure that they were suitable to care for people in the service. People received their medicine as prescribed and in a safe and timely manner.
People’s needs were met by skilled and knowledgeable staff who had the opportunities to improve and develop their skills and knowledge. People were involved and consented to how they wanted their care and support. The requirements of the Mental Capacity Act 2005 were adhered to. People received sufficient to eat and drink and appropriately supported was provided to ensure that people receive a balanced diet. People were supported and had access to other healthcare professionals to ensure they maintained their health and wellbeing.
People were encouraged to form and develop caring relationships with the staff that supported them. We saw that people were supported to express their views and were actively involved with decisions about their care and support. People were involved with their care planning and had access to advocacy services if needed. People were treated with dignity and respect.
People felt their needs were consistently responded to in a timely manner. People felt encouraged and supported to make choices and have their preferences adhered to. A range of activities were available that were meaningful and of interest to people. There was a complaints procedure available and accessible for people should they wish to raise a concern. People were aware of how to make a complaint in line with the provider’s policy and procedures.
There were systems in place for the registered manager to ensure all areas of the service were regularly checked and the overall quality of care was monitored by the provider. The service promoted open and transparent communication to ensure people were involved in how the service was run.