Radcliffe House

Updated 15 February 2019

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 was an announced inspection and was conducted by one adult social care inspector on 22 January 2019.

We requested and received a PIR. This is a form that asks the provider to give some key information about the service, what the service does well and any improvements they plan to make.

Before our inspection visit we reviewed the information we held about the service. This included notifications the provider had made to us. Notifications tell us about any incidents or events that affect people who use the service. We also asked Bury Healthwatch and local authority for their views of the service and they did not have any concerns.

We spoke with one person who used the service, the registered manager, the provider, a psychologist, an occupational therapist, a trained nurse and two care staff members. The two people accommodated at the home had complex autistic/mental health needs and were being supported to attain as much independence as they could achieve. One person did not want to talk to us and we respected their wishes.

During our inspection we observed the support provided by staff in communal areas of the home. We looked at the care and medicines administration records for two people who used the service. We also looked at the recruitment, training and supervision records for three members of staff, minutes of meetings and a variety of other records related to the management of the service.

Updated 15 February 2019

Radcliffe house is a three bedroomed semi-detached property in a residential area offering young people transition back into the community as part of their recovery pathway. Young people have varying support depending on their rehabilitation needs.

The service had a registered manager. A registered manager is a person who has registered with the CQC 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.

The service was first registered in February 2018. This is the first rated inspection for this service.

The service used the local authority safeguarding procedures to report any safeguarding concerns. Staff had been trained in safeguarding topics and were aware of their responsibilities to report any possible abuse.

Recruitment procedures were robust and ensured new staff were safe to work with vulnerable adults. There were sufficient staff to meet people’s needs.

The administration of medicines was safe. Staff had been trained in the administration of medicines and had up to date policies and procedures to follow.

The home was clean, tidy and homely in character. Staff were trained in the prevention and control of infection to help protect the health and welfare of people who used the service.

Electrical and gas appliances were serviced regularly. Each person had a personal emergency evacuation plan (PEEP) and there was a business contingency plan for any unforeseen emergencies.

People were given choices in the food they ate and supported to shop and cook for themselves. People were encouraged to eat and drink to ensure they were hydrated and well fed.

Staff had been trained in the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS).

New staff received induction training to provide them with the skills to care for people. Staff files and training records showed staff had undertaken sufficient training to meet the needs of people and they were supervised regularly to check their competence. Supervision sessions also gave staff the opportunity to discuss their work and ask for any training they felt necessary.

We observed there were good interactions between staff and people who used the service.

We saw from our observations of staff and records that people who used the service were given choices in many aspects of their lives and helped to remain independent where possible.

We saw that the quality of care plans gave staff sufficient information to look after people accommodated at the care home. Plans of care were individual, person centred and reviewed regularly to help meet their health and social care needs.

We saw that people could take part in activities of their choice and families and friends were able to visit when they wanted.

Audits and meetings helped maintain and improve standards of service provision.

People thought the registered manager was approachable and supportive. There were systems to audit the quality of service provision.

There were staff with recognised professional qualifications to provide care and support for people who used the service and advice for staff to follow good practice.