Archived: Old Registry

Updated 17 October 2017

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 2 October 2017 and was announced. It was carried out by one inspector. The provider was given one hour notice because the service is a care home for younger adults who are often out during the day. We needed to be sure that members of the management team were available to assist us with the inspection.

Before the inspection, we reviewed the information we held about the registered provider, including previous notifications and information about any complaints and safeguarding concerns received. A notification is information about important events which the registered provider is required to send to us by law. We also spoke with the local authority commissioners about the service and reviewed previous inspection reports.

During the inspection, we reviewed people’s records and a variety of documents. These included three people’s support plans and risk assessments, three staff recruitment files, staff training and medicine administration record (MAR) sheets. We spoke with the registered manager, the deputy manager, two people who use the service and two members of the staff team.

Three days after the inspection we spoke with three relatives on the telephone to obtain their views of the service. They all commented positively about the service.

Updated 17 October 2017

This inspection took place on 2 October 2017 and was announced. At our last inspection in January 2015, we found the provider was meeting the regulations we inspected and the service was rated “Good”. At this inspection we found that the service continued to be rated “Good”.

Old Registry provides personal care and accommodation to nine adults with a learning disability. At the time of our visit, nine people were using the service.

There was a registered manager in place. 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.

People told us they felt safe using the service. The provider had safeguarding policies and procedures in relation to safeguarding people.

People received individualised care and support that met their needs. There was guidance for staff on how to manage risks to people and how to keep them safe.

Staffing levels were sufficient to meet people’s needs and recruitment processes were safe. Staff received training, supervision and support to give them the necessary skills and knowledge to help them care and support people effectively.

People were supported to have their medicines safely. They were treated with dignity and respect and were able to make choices. They were also involved in making decisions about their care and support needs.

Staff understood and protected people’s legal rights. The provider had suitable arrangements for obtaining consent, assessing mental capacity and recording decisions made in people's best interests.

People were able to attend activities and social engagements of their choice. Visitors were always welcomed at the service.

The provider had a range of effective audit and quality assurance procedures in place. These were used as a means of identifying areas for improvement and also where good practice had been established.

People and their relatives told us they found the staff and management approachable and knew how to raise complaints and concerns.