Background to this inspection
Updated
5 October 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 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.
This inspection took place on 5 September 2017 and was unannounced. The inspection team consisted of two inspectors and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of service.
Before the inspection we checked the information we held about the service. This included any notifications and safeguarding alerts. We also contacted the local borough contracts and commissioning teams that had placements at the home, the local Healthwatch and the local borough safeguarding team. 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.
During our inspection we observed how the staff interacted with people who used the service and also looked at people’s bedrooms and bathrooms with their permission. We spoke with five people who used the service and three relatives during the inspection. We also spoke with the interim head of service provision and independence manager, the registered manager, the deputy manager and two support workers.
We looked at three care files, staff duty rosters, six staff files which included supervision and appraisal records, a range of audits, minutes for various meetings, three medicines records, three finances records, training information, safeguarding information, health and safety folder, and maintenance records.
Updated
5 October 2017
Trumpington Road is a residential care home providing accommodation and support with personal care for adults with learning disabilities. The service also provides respite care and support. All ten bedrooms are single occupancy. At the time of our inspection there were five people using the service and two people using the respite service.
At the previous inspection in September 2016 the service was rated as Requires Improvement and we found one breach of the legal requirements. This was because the service did not always record actions specified in risk assessments. Also we made recommendations that the service followed best practise on providing information to people with learning disabilities and supporting people who identified as lesbian, gay, bisexual and transgender. This unannounced inspection took place on 5 September 2017 and we found significant improvements had been made.
There was a registered manager in post. 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.
The experiences of people who lived at the service were positive. People and their relatives told us they felt the service was safe, staff were kind and the care they received was good. We found staff had a good understanding of their responsibility with regard to safeguarding adults.
Risk assessments were in place which provided guidance on how to support people safely. There was enough staff to meet people’s needs. Medicines were managed in a safe manner. There were sufficient numbers of suitable staff employed by the service. Staff had been recruited safely with appropriate checks on their backgrounds completed.
Staff undertook training and received regular supervision to help support them to provide effective care. Staff we spoke with had a good understanding of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). MCA and DoLS is law protecting people who are unable to make decisions for themselves or whom the state has decided their liberty needs to be deprived in their own best interests. We saw people were able to choose what they ate and drank.
Person centred support plans were in place and people and their relatives were involved in planning the care and support the received.
People’s cultural and religious needs were respected when planning and delivering care. Discussions with staff members showed that they respected people’s sexual orientation so that lesbian, gay, bisexual, and transgender people could feel accepted and welcomed in the service.
People had access to a wide variety of activities within the community. The provider had a complaint procedure in place. People and their relatives knew how to make a complaint.
Staff told us the registered manager was approachable and open. The service had various quality assurance and monitoring mechanisms in place. These included surveys, audits and staff and resident meetings.