Archived: The Paddocks

Updated 3 August 2018

We carried out this unannounced 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 was carried out by one inspector and took place on 28 June 2018.

Before our inspection, we reviewed the information we held about the service. This included a Provider Information Return (PIR), in which the provider tells us what improvements they plan to make and what they do well. We looked at any complaints we received and statutory notifications sent to us by the provider. A notification is information about important events which the provider is required to tell us about by law. We also contacted the commissioners of the service and Havering Healthwatch to obtain their views about the care provided.

During our inspection we spent time observing care and support provided to people in the communal areas of the service. We spoke with three people and contacted two relatives by telephone. We spoke with two members of staff and the registered manager. We looked at three people's care records and other records relating to the management of the home. This included three staff files, duty rosters, accident and incidents, complaints and health and safety records.

Updated 3 August 2018

The Paddocks 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. The home is registered to provide support to a maximum of eight people. At the time of the inspection there were six people using the service.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

At the last inspection in April 2016 the service was rated Good. At this inspection we found the service remained Good.

The service had a 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 and associated Regulations about how the service is run.

We last inspected this service on 7 April 2016. During that inspection we found the service did not update people's care plans. At this inspection we found improvements had been made and the service had updated people's care plans. This meant that people had care plans that reflected their current needs.

We found care plans were personalised and risk assessments, which identified potential risks to people and guidance for staff on how to manage them, were completed and reviewed. This ensured that risks to people were minimised.

During this inspection, we found the registered manager’s arrangements for staff supervision and appraisal, and the management of people's personal allowances were not effective. We noted that the registered manager listened to people, relatives and staff; sought feedback, and was ready to work with all the stakeholders.

The service's staff recruitment was robust to ensure that new staff were appropriately checked and inducted before starting to work with people. There were enough number of staff, who received training in adult safeguarding and were able to support people. Training included adult safeguarding and Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). Deprivation of Liberty Safeguards is where a person can be deprived of their liberties where it is deemed to be in their best interests or for their own safety.

People were encouraged and supported to live as independently as possible. Their care plans were personalised, and people could choose what and when to eat and drink. Staff ensured people's preferences of diet, whether it was because of health or culture, were respected.

The service sought and included people's views for further improvement of the service. We noted the service listened to and addressed people's concerns and complaints.

The service met people's health needs. Medical check-ups and appointments with health professionals were made and people were supported to attend them to ensure they had appropriate treatments. Medicines were safely recorded, stored and administered to ensure people received them as prescribed.