Young Prospects

Updated 5 December 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

This inspection was completed by two inspectors.

Service and service type:

29a Shrewsbury Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (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 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:

The inspection was unannounced.

What we did before the inspection:

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. We reviewed other information that we held about the service such as notifications. These are events that happen in the service that the provider is legally required to tell us about. We used all of this information to plan our inspection.

During the inspection:

We spoke with one person who lived at the service and two members of staff. We also spoke with two visitors. We reviewed a range of records. This included people’s care records and medication records. We also reviewed records relating to the management of the service such as incident and accident records, meeting minutes, training records, policies and audits.

After the inspection:

We received clarification from the registered manager to validate evidence found. We looked at training data and quality assurance records. We contacted three members of staff and one healthcare professional who has contact with the service to gain their views. We received feedback from two members of staff. The healthcare professional we requested feedback from did not respond.

Updated 5 December 2019

About the service:

29a Shrewsbury Road is a care home and is registered to provide accommodation and personal care for up to 16 people with learning or physical disabilities. The provider had modified the service and was now providing accommodation and personal care to a maximum of seven people. The upstairs area of the property was now a supported living service not regulated by the Care Quality Commission (CQC).

The service provided a ‘short breaks’ service, where people went for a period of respite care. At the time of the inspection, two people living there were receiving personal care. There were other people living within the service, however the level of care provided did not fall within the regulation of the CQC.

We have instructed the registered manager to ensure they and the provider take appropriate steps to ensure the service is correctly registered in relation to the number of people they support and the service location address.

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

One person receiving personal care at the service wished to communicate and engage with us. They were positive about their experience at the service.

We identified that some improvements were needed in relation to the management of medicines to ensure people were fully protected. We have made a recommendation in the report about this. Staff understood safeguarding procedures and processes and felt comfortable raising concerns.

There were enough staff available to support people safely and recruitment processes were robust. Risks to people were identified and guidance was in place for staff to keep people safe. Staff we spoke with understood people’s risks.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Where required, decision specific capacity assessments were completed.

Staff were competent and received an on-going training package from the provider. Staff felt supported by the registered manager and records evidenced supervision and performance appraisal was completed with staff.

Support plans were detailed and reviewed when required. People’s healthcare needs were identified and met. There was evidence the service worked with other healthcare professionals within people’s care plans.

People were supported by caring staff who worked towards promoting their dignity, privacy and independence. Records and information were maintained confidentially.

The person we spoke with and staff commented positively on the registered manager and the leadership of the service. There were internal and provider level governance systems in place to monitor the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection:

The last rating for this service was Good (published February 2017)

Why we inspected:

This was a planned inspection based on the previous rating.

Follow up:

We will continue to monitor the service through the information we receive. We will inspect in line with our inspection programme or sooner if required.