Background to this inspection
Updated
22 April 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 17 March 2017. The inspection was announced and was undertaken by one inspector. We gave 48 hours’ notice of the inspection as we needed to be sure that they would be in.
We reviewed the information we held about the service, including statutory notifications that the provider had sent us. A statutory notification is information about important events which the provider is required to send us by law. We contacted the local commissioners of care for feedback about the service.
During this inspection we spoke with two people who used the service and looked at care records and charts relating to three people. In total we spoke with five members of staff, including two care staff, the acting manager, two members of the clinical team and the provider. We also spoke with a visiting Community Psychiatric Nurse. We looked at two records in relation to staff recruitment and training, as well as records related to the quality monitoring of the service.
Updated
22 April 2017
16 Lorne Road provides personal care for people living at home. At the time of our inspection there were five people receiving personal care. This announced inspection took place on 17 March 2017.
There was a registered manager in post at the time of our inspection, although they were in the process of de-registering. The provider had ensured that a manager remained at the service during the transition from one registered manager to another. 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 were supported by staff that knew how to recognise when people were at risk of harm and knew what action they should take to keep people safe.
People were assessed for their risks whilst gaining independence following discharge from mental health hospitals. People received their prescribed medicines as planned there was a programme in place for each person to increase their independence whilst maintaining their safety.
People were assessed before they received care to determine if the service could meet their needs. Staff worked closely with health professionals to implement their mental health plans.
There were enough staff to provide all the care that people required to continue their plans of care to increase their independence. People could be assured that appropriate recruitment practices were in place.
People were supported by staff that had an induction and a wide variety of training which reflected people’s varied conditions. People received care from staff that had the skills and knowledge to meet their needs. Staff were supported to carry out their roles through regular supervision from a clinical team.
The manager and staff were aware of their responsibilities under the MCA code of practice. Staff gained people’s consent before they entered their homes and before providing any care.
Staff had information about who to contact in an emergency. Staff were vigilant to people’s health and well-being and ensured people were referred promptly to their GP or other health professionals where they appeared to be unwell.
People received care from staff that were kind. People were listened to, their views were acknowledged and acted upon and care and support was delivered in the way that people chose and preferred.
People felt confident that they could raise their concerns or make complaints and they would be dealt with in a timely way.
The provider continued to develop the service through quality monitoring.