Background to this inspection
Updated
9 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 the 17 October 2016 and was unannounced. It was undertaken by one inspector.
We reviewed information we held on the service including the action plan the provider had sent us following our last inspection.
We spoke with one person who used the service and observed the care of others. We spoke with two members of staff and the operations manager.
We looked at the care records for three people and staff rosters. We checked the medication systems and storage and records the provider had in place to monitor the quality of the service.
Updated
9 November 2016
This inspection took place on 17 October 2016 and was unannounced. At our previous inspection in November 2015 we had concerns that care being delivered was not always, safe, effective, caring, responsive and well led. We had found the provider in breach of three Regulations of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and asked the provider to improve. Following the inspection the provider sent us an action plan telling us how they planned to make the required improvements. At this inspections we found most improvements had been made, however further improvements were required.
209 Weston Road provides accommodation and personal care for up to six people with a learning disability. At the time of the inspection three people were using the service.
The registered manager was absent from the service on the day of the inspection. 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.
Although people were asked about their care, the provider and manager did not always take prompt action to improve when people identified concerns or meet people's requests.
People were safeguarded from abuse as staff and the manager knew what to do if they suspected someone had been abused.
There were sufficient staff to keep people safe. They had been employed using safe recruitment procedures.
People's medicines were administered and stored safely.
Risks of harm to people had been assessed and plans put in place to minimise the risk.
The provider was following the principles of the MCA by ensuring that people were consenting to or were being supported to consent to their care and support.
Staff were supported and trained to be effective in their roles.
People's nutritional needs were met and they received health care support when they became unwell or their needs changed.
People were treated with dignity and respect and their right to privacy was upheld.
People received care that was personalised and met their individual needs and preferences. People were offered opportunities to be engage in hobbies and activities of their choice.
People's care was regularly reviewed to ensure it met their current needs.
People were involved in decision making about their care and asked their views on the service. People felt able to complain if they needed to.
The manager was respected and had made some improvements to the quality of the service since our last inspection.