Residential Care Providers Limited

Updated 29 February 2020

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Residential Care Providers Limited –11 Kenton Road 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 service had a manager registered with the Care Quality Commission (CQC). This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

Before the inspection visit, we reviewed information we had received about the service since the last inspection. This included information about incidents the provider must notify us of, such as any allegations of abuse. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

During the inspection

All the people in the home had learning disabilities and could not always communicate with us and tell us what they thought about the service. We therefore spent time at the home observing the experience of the people and their care, how the staff interacted with people and how they supported people during the day. We spoke with members of staff, including the registered manager, deputy manager and three care workers.

We reviewed a range of records. This included three people’s care records, medication records for six people, staff training records, four staff files in relation to recruitment, and incident and accidents records. We also reviewed a variety of records relating to the management of the service, including quality assurance audits and checks and records relating to the safety of the premises.

After the inspection

We spoke with two relatives about their experience of care provided. We also spoke with one care worker.

Updated 29 February 2020

About the service

We undertook an unannounced inspection on 22 January 2020 of Residential Care Providers Limited –11 Kenton Road. Residential Care Providers Limited - 11 Kenton Road is a service providing accommodation and personal care for up to six people with learning disabilities and complex needs, in central Harrow. At the time of this inspection, six people were using the service.

People’s experience of using this service and what we found

All people in the home had learning disabilities and could not always communicate with us and tell us what they thought about the home. We therefore spent time on the inspection observing the experience of people and their care. We also observed how staff interacted with people and the support they provided. We observed that people appeared at ease when in the presence of staff. Staff spent time with people.

Relatives informed us that they were satisfied with the care and services provided. Relatives also told us that they were confident people were safe in the home.

Systems and processes were in place to help protect people from the risk of harm. Staff had received training in safeguarding adults and knew how to recognise and report any concerns or allegations of abuse. Appropriate risk assessments were in place and included guidance for staff on how to minimise risks to people.

Systems were in place to make sure people received their medicines safely. Arrangements were in place for the recording of medicines received into the home and for their storage, administration and disposal.

Appropriate recruitment checks had been carried out. The home had adequate staffing levels and staff were able to attend to people's needs.

We found the premises were clean and tidy. There was a record of essential maintenance carried out at the home. Bedrooms had been personalised with people's belongings to assist people to feel at home.

There was a positive, open and supportive culture at the service. The registered manager, deputy manager and staff team were committed to ensuring people were at the heart of the service and provided with personalised care.

Staff received the training, guidance and support they needed to do their job well and to effectively meet people's needs. Staff spoke positively about their experiences working at the home and said that they received support from management. Teamwork was effective in the home.

Staff understood their obligations regarding the Mental Capacity Act 2005 (MCA). People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

The Care Quality Commission (CQC) is required by law to monitor the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. DoLS ensure that an individual being deprived of their liberty is monitored and the reasons why they are being restricted is regularly reviewed to make sure it is still

in the person's best interests. DoLS authorisations were in place where appropriate.

People were respected and treated with dignity. Staff encouraged and promoted people’s independence.

People had the opportunity to participate in a broad range of social activities. They were supported to live life to the full despite many people having complex needs.

People's individual communication needs were understood by staff and management. A range of tools were used to support and promote people's individual ways of expressing and communicating their needs and wishes. Staff understood and valued people's differences.

An appropriate complaints procedure was in place. We noted that since the last inspection, the service had not received any complaints.

There were quality assurance systems in place to identify and address any shortfalls and make improvements to the home. The registered manager and staff team were continually seeking ways to develop and improve the service for people.

The home was managed effectively and had an open and inclusive culture. Morale among staff was positive and they spoke enthusiastically about working at the home.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

People benefited from living in a care home which provided effective, caring and well-led care and support.

Rating at last inspection

The last rating for this service was good (published 27 June 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.