Background to this inspection
Updated
6 October 2017
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.
The inspection team consisted of an adult social care inspector. The inspection took place over two days on the 4 and 6 September 2017.
The registered provider was given 24 hours’ notice because the location is a small care home for younger adults who are often out during the day; we needed to be sure that someone would be in.
Before the inspection, we asked the registered provider to complete a 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. This was returned within the given timescale.
We also contacted the commissioners of the service and the local authority safeguarding unit who informed us that there were no current concerns about the service.
We observed the care and support to the people who used the service and spoke with their relatives following the inspection. We viewed three people's records relating to their care, support and medication. We spoke with four staff during the inspection.
We looked for a variety of records which related to the management of the service such as policies and procedures, four staff files, training records and quality audits.
Updated
6 October 2017
This inspection took place on 4 and 6 September 2017 and was announced.
Beeston Drive provides care and accommodation for up to three people with a learning disability. There were three people using the service at the time of our inspection.
The service had a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like 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.
We last inspected the service in February 2016 and rated the service as ‘requires improvement’ overall. At this inspection we found the improvements had been made and that all the regulations were being met.
Accidents and incidents were appropriately recorded and risk assessments were in place. The registered manager and staff understood their responsibilities with regard to safeguarding and had received training in safeguarding adults.
Appropriate arrangements were in place for the safe administration and storage of medicines.
The environment was clean, spacious and suitable for the people who used the service and appropriate health and safety checks had been carried out.
There were sufficient numbers of staff on duty in order to meet the needs of people who used the service. The registered provider had a safe and effective recruitment and selection procedure in place and carried out relevant checks when they employed staff. Staff were suitably trained and received regular supervisions and appraisals.
The registered provider was working within the principles of the Mental Capacity Act 2005 (MCA) and was following legal requirements in respect of Deprivation of Liberty Safeguards (DoLS). Staff knew how to protect the rights of people, who lacked mental capacity to make decisions. They also worked with others to promote people’s best interest, safety and liberty.
Staff were caring towards people and supported them to maintain the relationships that were important. People were supported to develop their independence and skills around daily living tasks. Staff treated people with respect and maintained their right to privacy.
People were supported by staff to meet their nutritional needs. Care records contained evidence of people being supported to attend visits to and from external health care specialists.
The registered provider had supported people who used the service with to access education opportunities. People were supported and encouraged to engage with activities outside of the service.
There was an effective complaints procedure in place and any concerns had been addressed appropriately
There was clear and visible leadership in the service. Staff and the registered manager understood their role and responsibilities. The provider had a range of audits in place to assess, monitor and improve the service. The registered manager involved people and staff in the running of the service. The registered manager complied with their statutory responsibility to submit notifications to the CQC as required.