Background to this inspection
Updated
21 December 2018
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 unannounced inspection visit took place on 29 November 2018. The inspection team consisted of two inspectors.
As part of the inspection, we reviewed the information we held about the service, including notifications. A notification is information about events that by law the registered persons should tell us about. We asked for feedback from the commissioners of people's care to find out their views on the quality of the service. We used information the provider sent us in the Provider Information Return (PIR). 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 improvements they plan to make.
During the inspection, we spoke with two people who used the service and two relatives. We also spoke with the registered manager, three deputy managers, and four staff.
We observed the delivery of care and support provided to people living at the service and their interactions with staff. We reviewed the care records of two people. We looked at other records relating to the management of the service including, accident reports, monthly audits, and medicine administration records.
Updated
21 December 2018
This inspection took place on 29 November 2018 and was unannounced. At the last inspection completed on 31 March 2018 we rated the service Good. At this inspection we found the service remains rated as Good.
SENSE - 11 Station Road is a Residential 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.
SENSE - 11 Station Road accommodates up to nine people in one adapted building, where people had access to communal areas along with their own individual flats. At the time of the inspection there were seven people using the service.
Registering the Right Support has values which include choice, promotion of independence and inclusion. This is to ensure people with learning disabilities and autism using the service can live as ordinary a life as any citizen. The home was meeting the principles of this policy.
There was a registered manager in post at the time of our inspection. 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.
People were safeguarded from abuse and risks were assessed and planned for to keep people safe. People were supported by sufficient safely recruited staff. People’s medicines were administered as prescribed. People were protected from the risk of cross infection. The provider learned when things went wrong.
People’s needs were assessed and they had plans in place to meet those needs. Staff had access to training and ongoing development and were supported in their role. People were supported to live in an environment which had adaptations which were suitable to meet their needs.
People received consistent support from staff. People could choose their meals and were supported to eat and drink safely. People were supported to maintain their health and well-being.
People had choice and control of their lives and staff were aware of how to support them in the least restrictive way possible; the policies and systems in the service were supportive of this practice.
People were supported by staff that were caring and they had good relationships with staff. People were supported to make choices about their care and staff promoted people’s independence. People’s communication needs were assessed and planned for with specific tools in place to support people. People had their privacy and dignity protected by staff.
People’s preferences were understood by staff and they received person centred care and support. People had access to a range of activities and were supported follow their interests. People and relatives understood how to make a complaint and these were responded to. Nobody was receiving end of life care so this was not considered.
Notifications were submitted as required and the manager understood their responsibilities. People and their relatives were engaged in the service and felt able to approach the registered manager. Staff felt supported in their role and were involved in the service. Quality audits were in place and were used to drive improvement.