Archived: Drayton Road

Updated 4 August 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 15 and 20 June 2018 and was unannounced on the first day.

The inspection was carried out by two inspectors and a pharmacist inspector attended on the second day of the inspection.

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. We reviewed the information we already held about the service which included notifications submitted to us by the service.

During the inspection we observed care in communal areas, spoke to three people who used the service, two relatives, four staff, registered manager, deputy manager, area manager and human resource manager. After the inspection we contacted the lead nurse for learning disabilities who works with the service and a social worker.

We looked at four care plans and associated risk assessments, six staff files including their recruitment and training and supervision records. We also reviewed various meeting minutes, policy documents and audits relevant to the management of the service.

Updated 4 August 2018

The inspection took place on the 15 and 20 June 2018 and was unannounced. Two inspectors and a pharmacy inspector carried out this inspection.

Drayton Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Drayton Road provides accommodation for up to seven people with learning disabilities. It is divided across three floors with one ensuite bedroom, two shared bathrooms, two living room spaces and kitchen facilities. The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

At the previous inspection on the 9 and 16 March 2017 the service was rated as requires improvement in Safe and Well Led. The service has now made improvements in Well- Led.

The service had a new 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 were kept safe at the service and told us they felt safe at Drayton Road. Staff understood their safeguarding obligations and clear easy read information was provided for people who used the service on safeguarding. Staff were recruited safely at the service and appropriate checks completed to confirm suitability. Staff had been trained in medication but understanding in safely administering certain medicines risked incidents occurring.

People’s care plans were detailed and provided background information about people so staff could get to know them. Risk assessments were present and gave information on how to mitigate risk. People at Drayton Road were supported to take positive risks while avoiding harm in order to live their life freely.

Staff wore appropriate personal protective equipment to protect people from the risk of infection. However areas within Drayton Road was not always cleaned fully.

People were supported to eat and drink sufficient amounts and encouraged to make meals independently or with staff support where needed.

The service sought consent before giving care and always encouraged people to make their own decisions where possible. The service worked within the principles of the Mental Capacity Act 2005 and had made appropriate applications under the deprivation of liberty safeguards (DOLS).

Staff received training in mandatory areas and specialist training to support them in their role.

There was a robust complaints procedure that ensured people and their relatives knew how to make a complaint. Where incidents had happened, lessons learnt exercises were completed to minimise the risk of them happening again.

People, relatives, staff, and external stakeholders spoke positively of the management of the service. Quality systems were in place to ensure the service was running as it should be and where improvements needed to be made this information was fed back to management and staff.

We have made two recommendations about medicines management and infection control. Further information is in the detailed findings below.