Background to this inspection
Updated
21 February 2017
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.
The inspection took place on 18 January 2017 and was unannounced. One adult social care (ASC) inspector carried out the inspection.
Before this inspection we reviewed the information we held about the home, such as notifications we had received from the registered provider and information we had received from the local authorities who commissioned a service from the registered provider. We also requested feedback from a number of health care professionals, and received information from three. The registered provider was not asked to submit a provider information return (PIR) prior to this inspection. This is a form that asks the registered provider to give some key information about the service, what the service does well and improvements they plan to make.
On the day of the inspection we spoke with three members of staff and the registered manager. We were not able to communicate verbally with people who lived at the home but we spent time with them throughout the day to observe the care they received and the interactions between them and staff. We looked around communal areas of the home and bedrooms. We also spent time looking at records, which included the care records for two people who lived at the home, the recruitment and training records for two new members of staff and other records relating to the management of the home, including quality assurance, staff training, health and safety and medication.
Following the day of the inspection we spoke with two relatives of people who lived at the home to gain their feedback.
Updated
21 February 2017
This inspection took place on 18 January 2017 and was unannounced. This was the first inspection since the service moved from Driffield to the new location in Hornsea.
The home is registered to provide accommodation for up to five people who have a learning disability, autistic spectrum disorder and / or a physical disability. On the day of the inspection there were five people living at the home. The home is situated in Hornsea, in the East Riding of Yorkshire. It is close to the sea front and to town centre facilities. The accommodation is on one floor and each person has their own bedroom. There is an adapted bathroom that people share. Other accommodation includes a lounge / dining area, a small kitchen, a laundry room and a courtyard garden.
The registered provider is required to have a registered manager in post and on the day of the inspection there was a manager who was registered with the Care Quality Commission (CQC). 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.
On the day of the inspection we saw that there were sufficient numbers of staff employed to meet people's individual needs. New staff had been employed following robust recruitment and selection policies and this ensured that only people considered suitable to work with vulnerable people were working at the home.
Relatives told us they felt their family members were safe living at the home and this view was supported by health care professionals who we spoke with. The registered manager and care staff were trained in safeguarding adults from abuse and understood their responsibilities in respect of protecting people from the risk of harm. There were effective systems in place to manage any safeguarding concerns.
Staff confirmed that they received induction training when they were new in post and told us that they were happy with the training provided for them. Medicines were administered safely, and staff had received appropriate training on the administration of medicines.
Relatives and health care professionals told us that staff were caring and people’s privacy and dignity was respected. We saw very positive interactions between people who lived at the home and staff on the day of the inspection.
People's nutritional needs had been assessed and we saw that meals to meet their individual requirements were provided, following advice received from health care professionals when appropriate.
We saw that any complaints made to the home had been thoroughly investigated and that people had been provided with details of the investigation and outcome. There were also systems in place to seek feedback from relatives, staff and health care professionals about the quality of the service provided.
Staff, relatives and health care professionals told us that the home was well managed. Quality audits undertaken by the registered manager were designed to identify any areas of improvement to staff practice that would promote the well-being of people who lived at the home.
Staff told us that, on occasions, investigation into incidents that had occurred was used as a learning opportunity and to make improvements to the service provided.