Background to this inspection
Updated
9 August 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 checked 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 announced inspection took place on 25 June 2018. The inspection was announced to ensure people who used the service would be in during the day. The inspection was carried out by one adult social care inspector from the Care Quality Commission (CQC).
In advance of the inspection, we looked at the Provider Information Return (PIR). This is a form we ask the registered provider to give key information about the service, what the service does well and what improvements they planned to make.
We also reviewed any other information we held about the service. This included any statutory notifications such as any safeguarding and whistle blowing concerns. We also contacted stakeholders from Salford City Council to see if they had any information to share with us about the service. We did not receive any feedback from the stakeholders we contacted however.
During the inspection we spoke with the registered manager, area manager, three people who lived at the home, three relatives and two support workers. We reviewed three people’s care files, three staff personnel files, four medication administration records (MAR), the training matrix and quality assurance documentation. This helped inform our inspection judgements about the service.
We did not carry out short observational framework for inspection (SOFI) and carried out general observations to understand how staff interacted with people who could not communicate effectively.
Updated
9 August 2018
This announced inspection took place on 25 June 2018. We announced the inspection to ensure people who used the service would be in during the day.
384 Lower Broughton Road is a residential care home. Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
The service accommodates up to eight adults who have a learning disability and or autistic spectrum disorder related conditions. At the time of the inspection there were seven people using the service. The service is located in the Lower Broughton area of Salford and is close to local amenities and transport routes for Greater Manchester.
The service was run 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.
This was the first inspection we had undertaken at 384 Lower Broughton Road. This was because the service used to compromise of two separate houses (the other being number 386), however the service re-registered with CQC as a single location. When we last inspected the service in December 2014, the service was also rated Good overall and in each domain.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 told us they felt safe as result of the care and support they received and staff understood their responsibility with regards to safeguarding people from abuse.
Staff were recruited safely, with appropriate checks undertaken before they commenced employment.
There were enough staff available to care for and support people safely.
People had individual risk assessments in their support plans and the service maintained a log of any accidents and incidents which had occurred, which detailed any follow up actions taken. Trends analysis of accidents was undertaken to monitor any re-occurring themes.
Appropriate systems were in place to manage people’s medication safely.
Staff told us they received enough training, induction, supervision and appraisal to support them in their role. Records to demonstrate this were available during the inspection.
People received enough to eat and drink. People living at the home were able to contribute towards the ordering of food each week and often went out shopping with staff.
The people we spoke with told us they were happy with the care and support they received and described staff as kind and caring. Positive feedback was received from relatives we spoke with.
Each person living at the home had a support in place which provided an overview of the care and support they required. These were completed with good detail and were updated at regular intervals.
A complaints procedure was in place, although none had been made at the time of the inspection. A policy and procedure was in place for people to refer to, which was in ‘Easy read’ format also.
People could take part in activities if they wished and often went out with staff into the local community. People had attended courses at local learning facilities in the area, to develop skills and knowledge relating to areas of interest.
There were systems in place to seek feedback from people using the service through satisfaction surveys. Residents meetings also took place for people to share their views.
A range of internal auditing systems were in place at both managerial and provider level so that the quality of service could be monitored effectively.