Background to this inspection
Updated
11 August 2018
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.
This inspection took place on 16 July 2018 and was unannounced. The inspection was carried out by one inspector.
Prior to the inspection we reviewed the information we held about the service. For example, information shared by members of the public and healthcare professionals and statutory notifications. Statutory notifications are information about important events which the service is required to tell us about by law. We also reviewed the information included in the 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 used this information to plan the inspection.
During the inspection we spoke with three people using the service, a team leader, two support workers, and the registered manager. We reviewed one person’s care records and sampled one other person’s records, we looked at staff records which included supervision notes. We reviewed medicines management arrangements and records relating to the management of the service, including policies and procedures.
Updated
11 August 2018
This inspection took place on 16 July 2018 and was unannounced.
At the last inspection, the service was rated Good. At this inspection the service remained Good.
66 Park Lane is a ‘care home’. People in care homes receive accommodation and personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
66 Park Lane accommodates five people who need support with their mental well being.
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 were safeguarded from avoidable harm. Staff adhered to safeguarding adult’s procedures and reported any concerns to their manager and the local authority.
Staff assessed, managed and reduced risks to people’s safety at the service and in the community. There were sufficient staff on duty to meet people’s needs.
Safe medicines management was followed and people received their medicines as prescribed. Staff protected people from the risk of infection and followed procedures to prevent and control the spread of infections.
Staff completed regular refresher training to ensure their knowledge and skills stayed in line with good practice guidance. Staff shared knowledge with their colleagues to assist with learning being shared throughout the team.
Staff supported people to eat and drink sufficient amounts to meet their needs. Staff liaised with other health and social care professionals and ensured people received effective, coordinated care in regards to any health needs.
Staff applied the priniciples of the Mental Capacity Act 2005 and Mental Health Act 1983/2007. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. An appropriate, well maintained environment was provided that met people’s needs.
Staff treated people with kindness, respect and compassion. Staff empowered people to make choices about their care. Staff respected people’s individual differences and supported them with any religious or cultural needs. Staff supported people to maintain relationships with families. People’s privacy and dignity was respected and promoted.
People received personalised care that meet their needs. Assessments were undertaken to identify people’s support needs and these were regularly reviewed. Detailed care records were developed informing staff of the level of support people required and how they wanted it to be delivered. People participated in a range of activities.
A complaints process ensured any concerns raised were listened to and investigated.
The registered manager adhered to the requirements of their Care Quality Commission registration, including submitting notifications about key events that occurred. An inclusive and open culture had been established and the provider welcomed feedback from staff, relatives and health and social care professionals in order to improve service delivery. A programme of audits and checks were in place to monitor the quality of the service and improvements were made where required.
Further information is in the detailed findings below.