Background to this inspection
Updated
6 January 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 23 November 2016 and was unannounced. The inspection team consisted of one inspector.
Before the inspection we reviewed the information we held about the service. The provider completed a Provider Information Return (PIR). This is a document that CQC asks providers to complete to give some key information about the service. The PIR tells us how they are meeting the standards and about any improvements they plan to make. We also reviewed statutory notifications the provider had sent to us. Providers are required to send us notifications to inform us of certain events and incidents, such as serious injuries sustained by people living at the service. We sought information and views from the local authority who commission services with the provider and the local authority safeguarding team. We considered this information when we planned our inspection.
During this inspection, we spoke with one person who used the service and one relative. We spoke with two care staff, the assistant manager and the registered manager. We also observed how staff interacted with the people who used the service throughout the inspection.
We looked at two people’s care records to see if they were accurate, up to date and supported what we were told and saw during the inspection. We also looked at three staff files and records relating to the management of the service. These included medication, complaints, accidents and incident records, and the provider’s self-audits and checks.
Updated
6 January 2017
Our inspection took place on 23 November 2016 and was unannounced. This was the first inspection of the service since registration. Burley Heights provides accommodation and personal care for up to seven people with a learning disability. At the time of the inspection there were 5 people living at the service.
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.
People were supported by a staff team who knew how to keep people safe from the risk of potential harm or abuse. People’s risks had been assessed and staff were working in ways to reduce these risks. People were supported by sufficient numbers of staff who had been recruited safely. People received their medicines as prescribed from suitably trained staff.
People received care and support from skilled and knowledgeable staff team who had access to ongoing training.
People were asked for their consent to care and support and the principles of the Mental Capacity Act 2005 were being followed.
People were supported to have sufficient quantities to eat and drink. People were involved in planning meals and were provided with choices of food and drink. Specific dietary needs were identified and appropriately managed.
People were supported to access healthcare services when they needed to. People were supported by a staff team who were able to recognise changes in people’s health and well-being and knew how to report and respond to any changes.
People were treated with kindness, dignity and respect and were encouraged to maintain their independence. People were supported to maintain relationships that were important to them.
People were supported by staff who knew their care and support needs and preferences well and supported them appropriately. People and their relatives were involved in the planning and review of their care where possible. People were encouraged and supported to engage in activities which supported their personal interests and hobbies.
People and their relatives we spoke with told us they knew who the registered manager was and felt confident to approach them with concerns or complaints. Complaints were being investigated and appropriate action was being taken.
People, relatives and staff were provided with opportunities to give feedback on the service. The registered manager had systems and processes in place to monitor and analyse the quality of the service, and they used information from quality checks to drive improvement.