Archived: 30 Coleraine Road

Updated 11 August 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 checked 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.’

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 comprehensive inspection took place on 9 March 2017 and was unannounced. The inspection team consisted of two inspectors.

Prior to the inspection we reviewed information we held about the service. This included a copy of the provider's action plan which outlined the actions to address the breaches identified at our inspection in April 2016.

Although we were able to speak with one person living at the home, another person had complex needs and therefore could not tell us about their care. We contacted relatives and other healthcare professionals.

We observed interactions between staff and people using the service. We spent time looking at records including care records for two people using the service, including care plans and risk assessments and daily records. We also looked at staff personnel files for four staff members, reviewed medicines administration record (MAR) sheets for two people using the service and other records relating to the management of the service. On the day of our inspection, we met and spoke with one person using the service. We spoke with a director, new manager, and two support workers. We also spoke with the local authority commissioner.

Updated 11 August 2017

This comprehensive inspection took place on 9 March 2017 and was unannounced.

At our last focused inspection in April 2016 we found breaches of legal requirements in relation to staffing levels. Staffing levels were not adequate to manage individual risks in the community and at the home.

30 Coleraine Road is a care home providing care and support to up to four adults with learning disability and mental health needs. Each person has their own room and there is a communal lounge and dining areas. At the time of our inspection there were two people using the service.The provider had three services within close proximity.

At the time of our inspection a new manager had been appointed and planned to apply to become the registered manager. 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 our last inspection we found staffing levels were not sufficient to meet people's needs. During this inspection we saw that the service had appointed a floating support worker to work across the services when additional staff were needed.

Records relating to people using the service were not always accurate and updated. At our last inspection in April 2016 we found health action plans (HAP) also known as 'my purple book' (book containing up to date information about peoples’ health needs) were not always up to date. During this inspection we found this was still an issue. Risk assessments were in place, including triggers to observe and how to manage any risks posed. However, we found that risks were not always recorded.

People were protected from the risk of abuse because staff were knowledgeable and knew what action to take to protect people. Staff were subjected to the necessary checks to ensure they were safe to work with people.

People were treated with dignity and respect and their privacy respected. During our inspection we saw that staff spoke to people in a respectful manner and respected their opinions.

Care plans documented peoples likes and dislikes and preferences for care.

We found breaches relating to consent to care and treatment, one person did not have a DoLS authorisation in place. Systems for monitoring the quality of the service were not effective in ensuring that records relating to people using the service were accurate and up to date.

You can see what action we told the provider to take at the back of the full version of the report.