Shetland House

Updated 24 January 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 inspection took place on 10 December 2018 and was announced. The provider was given 24 hours’ notice because the service provides a respite facility and we need to be sure people were using the service at the time of inspection. The inspection was carried out by one inspector.

Before the inspection we reviewed information we held about the service. We contacted the local authority adult safeguarding and quality monitoring team as well as the local Healthwatch England, the consumer champion for health and social care in England, to ask if they had any information to share. We used this information to plan our inspection.

The provider had been requested to send us a Provider Information Return (PIR) and had returned this within required timescales. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and any improvements they plan to make.

During the inspection we spoke with one person currently using the service and three people who had used the service previously. We also spoke with the registered manager who is also the provider, the respite manager and three members of staff.

We reviewed two people’s care plans, risk assessments and daily records. We checked the arrangements in place for managing medicines and recording of complaints. We reviewed two staff’s recruitment and induction records and three staffs’ supervision and appraisal records, as well as training records, meeting minutes, audits and a selection of other records relating to the management of the service.

Updated 24 January 2019

Inspection site visits took place on 10 December 2018 and was announced. This was the first inspection of the service since it was registered in December 2017.

Respite and Recovery Centre is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Respite and Recovery Centre is situated in Whitby. The service accommodates up to 3 people in one adapted building. They do not provide nursing care. At the time of this inspection, the service was providing support to one person.

The provider, Town and Country Care (Whitby) Limited operates Respite and Recovery Centre. They also operate a domiciliary care service and a day centre provision which are all ran from the same site in St Hilda’s Business Park in Whitby. However, they are registered with the Care Quality Commission separately. This inspection was to look at Respite and Recovery Centre.

A registered manager was 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. The registered manager was also the provider.

People told us they felt safe whilst receiving support at Respite and Recovery Centre. Safeguarding policies and procedures were in place and these had been followed. Staff had a thorough understanding of the different types of abuse and action they should take to report any concerns.

Risk management plans were in place although these lacked details. They did not clearly identify what the risks were, and control measures that had been put in place. The registered manager was already aware of this shortfall and had begun to take action to address this prior to the inspection.

Thorough and safe recruitment and induction processes were in place and followed. Staff had received regular support from the management team to encourage personal development and address any shortfalls. Staff had been provided with a variety of training to ensure they had the skills and knowledge to carry out their roles.

People’s medicines had been stored and administered safely. When people had the ability to self-medicate, appropriate risk assessments and storage facilities were in place. Staff had received sufficient medicines training.

The service was clean and tidy throughout. Thorough cleaning rotas were in place and personal protective equipment was readily available.

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. Consent to care and support was clearly recorded.

People had access to health professionals when needed and the registered manager had worked hard to build effective relationships with other professionals involved in people’s care and support.

People were consulted with regards to the meals on offer and their preferences were accommodated. People’s independence was actively promoted by staff who were familiar with people’s abilities, likes, dislikes, preferences and support needs. A variety of activities were available, and people were encouraged to build their social circles by attending the provider’s day centre provision.

The registered manager was supported by a respite manager. People and staff told us management were open, honest and approachable. People were encouraged to provide feedback and it was clear that people were at the heart of the service. A complaints policy was in place and people were confident any concerns they had would be addressed appropriately.

Systems to monitor and improve the service were in place and regular feedback from people had been sought. When actions were identified, remedial action had been taken in a timely manner. The registered manager was keen to continuously develop and improve the service.