Archived: 46a Eastern Avenue

Updated 22 April 2015

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 20 and 22 January 2015 and was unannounced. The inspection team consisted of one inspector.

Prior to our inspection we looked at and reviewed all the current information we held about the service. This included notifications that we received. Notifications are events that the provider is required by law to inform us of. We requested the Provider Information Return (PIR) and reviewed the information. This is a form that asks the provider to give some key information about the service, what the service does well and any improvements they plan to make.

We spoke with all three people who use the service who had complex communication needs and could not always express their views to us. We observed staff supporting people who use the service. We also spoke with three care workers, the registered manager, the operations manager and a visitor. We reviewed all three people’s care plans, health action plans, risk assessments and medicines administration records. We looked at staff training records for all 11 staff and supervision, appraisal and recruitment records for three staff. We also looked at various audits and other records relating to the management of the home.

Updated 22 April 2015

This inspection took place on 20 and 22 January 2015 and was unannounced. 46a Eastern Avenue provides accommodation and personal care for up to 6 people with a learning disability. There were 3 people living at the home when we visited.

The home 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 who use the service were safe. Staff knew how to keep people safe from abuse and knew what do if they thought a person was a risk. Risk to people’s safety were assessed and managed well. People were supported to be as independent as possible while remaining safe. There were enough suitable staff to keep people safe, and recruitment practices were robust.

Staff were well supported by managers and had regular training and supervision to enable them to meet the needs of people who use the service. People were helped to have enough to eat and drink and staff supported people to maintain a healthy diet, as well as with shopping and cooking. People were supported to remain healthy and appropriate referrals were made to health care professionals when needed.

Staff were caring. Staff spoke to people who use the service in a caring and respectful way. People were involved in making decisions about their care and care plans were person centred.

People were involved in regular reviews of their care needs. Staff knew how to identify changes to people’s care needs and the appropriate action they should take. The provider regularly sought feedback from people who use the service, relatives, staff and others, and acted on it. They had a good complaints procedure in place, which people were supported to use if they needed to.

The service was well led. Staff were well motivated and gave positive feedback about working for the provider. The registered manager and provider had a strong emphasis on improving the quality of service. There was a robust incident and accident monitoring system in place. The registered manager led by example and promoted an open culture among staff.