Archived: Craegmoor Supporting You in Lincolnshire

Updated 28 May 2016

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.

Before our inspection we reviewed information we held about the registered provider and which the registered persons had sent to us. This included the Provider Information Return (PIR). This is a form that asks the registered persons to give some key information about the service, what the service does well and improvements they plan to make. We also took into account the notifications of incidents that the registered persons had sent us since the last inspection. These are events that happened in the service that the registered persons are required to tell us about.

We completed our inspection on 12 and 13 April 2016. We gave the registered persons a short period of notice before we called to the service. This was because people benefited from knowing that we would be carrying out our inspection and because we needed to be sure the registered manager would be available to speak with us. The inspection team consisted of two inspectors.

We arranged to visit the four people who were receiving personal care support in their own home. However, when we arrived to begin our inspection people confirmed with us by telephone that they did not want us to visit them in person. However, we spoke with two people briefly by telephone together with a locality manager and they told us that they were happy for us to speak with the registered manager and staff who supported them about how their care was provided and to review their care records.

During our inspection we also sought permission to speak with and made contact with a relative of one person who used the service by telephone.

The registered manager and one of the two locality managers who managed the day to day support provided for people were available during our inspection and we spoke with them about how the service was managed and being developed. We also spoke with six members of the care staff team.

We looked at four care plan records related to the care people received. A care plan is a document which details people’s assessed social and health care needs and informs staff how to meet those needs. We also reviewed a range of records relating to how the service was run. This included; the registered provider’s statement of purpose, policies and procedures related to how people were supported with their medicines, policies relating to staff and rotas which showed how staff were being deployed. We also viewed two staff recruitment records, records related to the supervision and support arrangements in place for staff and the providers training plan records.

Updated 28 May 2016

We carried out this announced inspection on 12 and 13 April 2016.

Craegmoor Supporting You In Lincolnshire provides support and personal care to people who live in their own homes. People who use the service have a range of needs which include learning disabilities and mental health difficulties. At the time of our inspection four people who had moved into supported living from a residential care setting and two people who were supported in their own homes received support under the regulated activity of personal care. There were 41 other people who received support from the service which was not provided under the activity for which the service is registered.

There was an established registered manager in post. 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 involved in making decisions about how they wanted to be supported and how they spent their time. Staff were caring and positive working relationships had been developed between staff and people who used the service. These relationships were being consistently maintained.

New staff were recruited safely and staff were sufficiently trained and supported by the registered provider and manager to undertake their roles. There were sufficient staff available who were deployed in the right way to meet people’s care needs.

Staff had a good understanding of how to manage risks and protect people from avoidable harm. They also knew how they would report any concerns they identified.

The registered manager had ensured there were clear arrangements in place for ordering, storing, administering and disposing of medicines. Staff’s competency to safely administer medications was regularly assessed.

People had the opportunity share their views and opinions and were involved in planning and reviewing their care. People and their relatives also understood how to raise any complaints or issues they had and were confident the right actions would be taken to resolve them.

The provider had completed quality checks together with the registered manager to make sure that people received the care they needed in a consistent way. These checks included a range of effective audit systems to ensure the service was continually monitored. This was so that any changes or improvements needed would be acted upon in order to keep developing the quality of the services provided.