Archived: Care Management Group - 31 Bushey Hall Road

Updated 7 March 2018

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 18 October 2017 and was unannounced. The inspection was undertaken by one inspector.

Before the inspection, we asked the provider to complete 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. We reviewed the information available to us about the service such as information from the local authority, information received about the service and notifications. A notification is information about important events which the provider is required to send us by law. We found that no recent concerns had been raised.

During the inspection we spoke with four people who lived at the service, one relative, three care workers and the registered manager.

We carried out observations of the interactions between staff and the people living at the service. We reviewed the care records and associated risk assessments of two people who lived at the service, and also checked medicines administration records to ensure these were reflective of people’s current needs. We looked at two staff records and the training records for all the staff employed at the service to ensure that staff training was up to date. We also reviewed additional information on how the quality of the service was monitored and managed to drive future improvements.

Updated 7 March 2018

Care Management Group – 31 Bushey Hall Road provides accommodation, care and support for up to five people with a learning disability. Some people may have a diagnosis of autistic spectrum disorder. At the time of our inspection there were five people living at the service.

At the last inspection in October 2015, the service was rated Good.

At this inspection we found the service remained Good.

The service has a registered manager. 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 felt safe. Staff were knowledgeable and understood their responsibilities with regards to safeguarding people. They had received effective safeguarding training.

There were sufficient numbers of staff on duty to meet people's needs. Safe recruitment processes were in place and had been followed to ensure that staff were suitable for the role they had been appointed to prior to commencing work.

Staff were knowledgeable and felt supported in their roles. They received regular supervisions and an ongoing programme of training and development was available to them. Staff were positive about the training they received.

People were involved in deciding in which way their care was provided. Each person had a detailed care plan which took account of their individual needs, preferences and choices. Risks to people’s health, safety and wellbeing had been identified and personalised risk assessments were completed. All care plans and risk assessments had been regularly reviewed to ensure that they were reflective of people's current needs.

People were supported to make decisions about their care and support. Decisions made on behalf of people were in line with the principles of the Mental Capacity Act 2005 (MCA) and the associated Deprivation of Liberty Safeguards (DoLS). Consent was gained from people before any support was provided.

People accessed the services of health and care professionals to maintain their health and wellbeing. Care plans detailed people’s needs in relation to their health and the support required from the service. People received their medicines as prescribed. There were effective systems in place for the safe storage and management of medicine and regular audits were completed.

Positive relationships had developed between people and staff. Staff were supportive, friendly and respectful. People's privacy and dignity was promoted throughout their care. Staff knew people's needs and preferences and provided encouragement when supporting them. People were supported to participate in meaningful activities and a wide variety was available.

People and staff found the registered manager supportive and approachable and spoke highly of their ability to manage the service. People felt listened to and that staff were responsive to any concerns or complaints that they may have. Quality monitoring systems and processes were used effectively to drive improvements in the service and identify where action needed to be taken.

Further information is in the detailed findings below.