This inspection took place on 24 January 2017 and was unannounced. There is a requirement for Rhodelands to have a registered manager and a registered manager was in place. 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 service is registered to provide residential care for up to seven younger adults with learning disabilities or autistic spectrum disorder. At the time of our inspection seven people used the service.
Some areas of the service could not always be effectively cleaned, and cleaning had not always been completed to the timescales set by the provider.
Not all shortfalls identified by the provider were risk assessed and managed to set timescales.
We requested one notification that had not been sent in a timely manner. Notifications are changes, events or incidents that providers must tell us about.
Other systems and processes to ensure good practice were in place, for example checks on fire safety.
Staff had been trained in and had an understanding of safeguarding and how to keep people safe from potential abuse. Staff were recruited in line with the provider’s policy and procedures, and checks were completed to ensure staff employed were suitable to work at the service.
Staffing levels were based on meeting people’s needs and enough care hours were provided to do so.
Medicines were stored securely and were managed in line with the provider’s policies and procedures. However, not all records for the management of medicines were complete.
Risks to people’s health, for example from risks from medicines or other health conditions were identified and actions taken to reduce those risks.
Staff understood how to provide care to people in line with the Mental Capacity Act 2005 (MCA). Applications for Deprivation of Liberty Safeguard (DoLS) authorisations had been made when required by the registered manager.
People were given the opportunity to express their preferences for meals and drinks. We saw people had access to food and drink throughout the day.
Other healthcare professionals were involved in supporting people’s health care needs when needed to ensure people maintained good health.
Staff were supported by the registered manager and were confident in their role and responsibilities. Staff had skills and knowledge relevant to people’s needs.
Staff provided care that respected people’s privacy and dignity. Staff had built kind relationships with people.
Care plans were developed to include people and their relatives’ views. Care plans were reviewed and people and families felt involved in the process.
Staff helped to create a calm and inclusive atmosphere in the service.
Events and activities were open to family members, and people had regular contact with their local community.
People were supported to enjoy activities that were of interest to them. People had personalised their bedrooms to reflect their hobbies and interests.
Staff listened and responded to any views, suggestions and complaints. Any complaints were recorded, investigated and resolved to people’s satisfaction.