Background to this inspection
Updated
4 November 2016
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 inspection took place on 20 September 2016 and was unannounced.
The membership of the inspection team consisted of one inspector due to the small scale of this location. The inspector was qualified and experienced in providing services to people with a learning disability.
Before the inspection, the provider completed 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. We also reviewed information we held about the service, in particular notifications about incidents, accidents and safeguarding information. A notification is information about important events which the service is required to send us by law.
We spoke with the two people who used the service. We interviewed the staff member supporting them and spoke with the registered manager. We also spoke with a visiting professional.
We reviewed the support plans, daily records and records relating staffing and to the quality and safety monitoring of the service.
Updated
4 November 2016
This unannounced inspection took place on 20 September 2016. This service has been consistently good since registration and has not been in breach of legislation.
58a Nayland Road can support two people with a learning disability to live within their community. There were two people using the service. This service is one of six in the same group, located close together under ‘Jameson’s Residential Care’ umbrella.
There was a registered manager in post at the time of the inspection, and they facilitated our visit. 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.
We found a service that has been consistently good over time. People who lived at the service had their needs assessed before they moved in and were consulted about their wishes and aspirations. They were involved in decision making where possible and had good access to their community. Care plans were informative, regularly reviewed and enabled staff to provide consistent, appropriate care based upon their individual needs. Daily recordings were based upon plans in place.
People had their privacy and dignity promoted. Individuality was promoted and respected. Staff had a good understanding of capacity and supporting people with decision making. They were clear about what to do if a person lacked capacity. This was seen in practice from observation and records. People were supported to develop skills and participate in the daily life of the service and to develop independence skills. Risk assessments highlighted how people can be kept as safe as possible. People had access to healthcare support to remain healthy and were able to decide and choose the food and menus they preferred. People received a well-balanced diet of their choosing.
Staff were well supported. There were sufficient staff that worked flexibly to meet people’s needs. There was access to an on call senior staff at all times. Staff were given the appropriate training to meet people’s needs and were able to gain professional recognised qualifications. Staff understood the aims and objectives of the service and worked towards and in line with these. The management of the service was well regarded by staff, who told us they were visible and approachable and responsive to ideas. Managers were well qualified and were kept up to date with current thinking through accessing training and quality assurance from current practicing professionals in the field of health and social care with learning disabilities.