20 September 2016
During a routine inspection
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.