Background to this inspection
Updated
28 February 2019
The inspection: 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.
Inspection team: The inspection was carried out by one inspector.
Service and service type: 8 Brantwood Road is a '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.
The service had a manager registered with the Care Quality Commission. 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: This inspection was unannounced.
What we did: Before the inspection we reviewed information, we held about the service including statutory notifications. Statutory notifications include information about important events which the provider is required to send us. We reviewed the provider information return (PIR) submitted to us. This is information that the provider is required to send to us, which gives us some key information about the service and tells us what the service does well and any improvements they plan to make.
During the inspection we spoke with one person and observed how staff supported two other people in the home. We spoke with a relative of a person living in the home, a staff member and the registered manager.
We looked at two care plans and reviewed records relating to the management of the service.
Updated
28 February 2019
About the service: 8 Brantwood Road provides accommodation and support for five people with mental health needs. On the day of our visit, there were five people living in the service.
People’s experience of using this service:
People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice. People were free to leave the home when they wanted, there were no restrictions in place.
People told us they were safe and liked living at the home. People living in 8 Brantwood Road needed minimal support with their personal care needs. Staff mainly encouraged people to complete tasks independently.
People told us staff talked to them about how to stay safe in the home and in the community. They told us if they had any concerns they would talk with staff. Staff were knowledgeable about safeguarding and how to report their concerns internally and externally to local safeguarding authorities.
People told us they knew what risks were involved when they were in the home, doing activities or accessing the community. Risk assessments were in place to identify possible risks to people`s health and well-being and measures were implemented to manage the risks.
There were enough staff to meet people`s needs. The registered manager told us people needed no support during the night and they had an emergency contact number in case there was an emergency. However, there were no individual assessments for people to establish if they knew how to ask for help. We recommended to the provider to carry out risk assessments to establish the level of risk during the night to each person when staff were not in the building.
Care plans were well developed and personalised to give guidance to staff on how to support people effectively. People were encouraged to eat a health balanced diet. They had regular heath checks and staff supported them to attend their regular health appointments.
People told us staff were kind and caring and helped them. People`s personal information was kept confidential.
People were involved in discussions about their care and had monthly meetings with their allocated staff member (key worker) to review their mental health.
Staff received training in subjects considered mandatory by the provider and had further opportunities to develop their skills and knowledge. People were also encouraged to develop their knowledge by attending different learning courses like fire awareness and about how to keep good oral health.
The provider had a five-year customer engagement strategy. This is where they rolled out various engagement programs for people, gather feedback and seek the views of people in terms of shaping the service to meet their needs.
People`s dignity and privacy was promoted and respected by staff. Staff enabled people to maintain and develop relationships and stay safe.
People were encouraged to engage in activities, pursue hobbies and interests and socialise. Opportunities were created by the provider for people from all their services to get together regularly and participate in workshops they were interested in.
The provider`s governance systems and processes were effective and identified areas of the service where improvements were needed. The registered manager and the provider completed regular audits to ensure the service provided to people was effective and safe.
Rating at last inspection: Good (report published 07 June 2016).
Why we inspected: This was a planned inspection based on the rating at the last inspection. The service remained rated Good overall.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.