Background to this inspection
Updated
12 April 2019
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was carried out by one inspector.
Service and service type:
278 Moseley Road provides care and support to people living with learning disabilities and/or mental health conditions in three separate 'supported living' settings so that they can live as independently as possible.
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.
What we did:
When planning our inspection, we looked at the information we held about the service. This included the Provider Information Return (PIR), notifications received from the provider about deaths, safeguarding alerts and serious injuries, which they are required to send us by law. A PIR is information we require providers to send us to give key information about the service, what the service does well and what improvements they plan to make. We also contacted the local authority and commissioners of people’s care to gain feedback. They did not report any concerns, this helped us to plan our inspection.
During our inspection we visited all three houses and met and spoke with seven people, one relative, one social care professional, five members of staff, the registered manager and the provider. We also looked at a range of records including three people’s care plans, medication records, staff recruitment records and the quality assurance systems that were in place.
Updated
12 April 2019
About the service: 278 Moseley Road provides care and support to people living with learning disabilities and/or mental health conditions. The service is provided from residential properties known as ‘College Road’, ‘Swanshurst Lane’ and ‘Yardley Wood Road’. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people's personal care and support. At the time of our inspection, the provider was supporting 12 people with their personal care needs.
People’s experience of using this service:
We found improvements had been made in some of the key questions we rated as requires improvement following our previous comprehensive inspection. We also found the breaches of regulations that were issued at that inspection had been met. However, we found some improvements were needed to ensure quality assurance systems were embedded and care records contained the information staff needed to refer to in relation to meeting people’s health care needs and the risk management of some people’s needs.
Improvements had been made to how people were supported by staff, there was greater consistency provided by a core team of staff.
Staff knew people’s needs and had received training which provided them with the skills to support people safely and effectively. Staff felt supported in their role and were kept up to date with changes in people’s care needs. Staff were recruited safely.
Staff were aware of people’s healthcare needs and how to support them to maintain good health. People received their medicines as needed. People’s nutritional needs were met.
People had access to some leisure opportunities and activities and people’s independence was promoted.
People told us they felt safe. Staff understood how to recognise signs of abuse and how to report concerns within the organisation and externally. People were protected from the risk of infection.
Staff felt the registered manager was approachable and provided good leadership and direction. There were systems in place to respond to complaints and concerns about the service and people were asked for their views about what could be improved.
Rating at last inspection: We inspected the service in February 2018 and rated the service ‘Requires Improvement’ overall with an ‘Inadequate’ rating for well led. We found breaches of regulation 12 and 17 and imposed conditions on the providers registration. We carried out a focused inspection on 24 August 2018 and looked at the safe and well led key questions. There was evidence of some improvement and both key questions were rated as ‘Requires Improvement’. However, the breaches remained unmet and the conditions we imposed on the provider remained in place.
Why we inspected: This was a planned inspection which took place on 20 and 21 February 2019. At the last inspection the service was not meeting the regulations and we imposed conditions on the provider’s registration.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.