Background to this inspection
Updated
8 June 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.
This inspection took place on 10 and 11 May 2017 and was announced.
The provider was given 48 hours’ notice because the location provides a domiciliary care service / supported living scheme and we needed to be sure that someone would be in.
The inspection team consisted of one inspector.
We reviewed information we held about the service. We looked at our own system to see if we had received any concerns or compliments about the provider. We analysed information on statutory notifications we had received from the provider. A statutory notification is information about important events which the provider is required to send us by law.
We asked the local authority and Healthwatch for any information they had which would aid our inspection. We used this information to help plan our inspection.
During the inspection we were not able to talk with people receiving support through Grafton House. We spoke with four relatives, three staff members and the registered manager. We looked at the care and support plans for three people, including assessments of risk and records of medicines and healthcare provision. We saw the records of quality checks completed by the provider and newsletters provided to staff members. In addition we looked at the recruitment details of two staff members.
Updated
8 June 2017
This inspection took place on 10 and 11 April 2017 and was announced.
Voyage (DCA) Grafton House is a supported living scheme providing support and personal care for people with a learning disability living in their own individual flats.
At this inspection, they were providing care and support for 7 people.
A registered manager was in post and present during our inspection. 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 safe as staff had been trained and understood how to support people in a way that protected them from danger, harm and abuse. Staff had access to care plans and risk assessments and were aware of how to protect people from the risk of harm.
People were supported with their medicines by staff who were trained to safely support them and who made sure they had their medicine when they needed it. The provider completed checks to ensure staff followed safe practice when assisting people with their medicines.
People were supported by enough staff members to meet their individual needs and preferences.
The provider completed appropriate checks on staff before they started work to ensure they were safe to work with people. People received care from staff who had the skills and knowledge to assist them. Staff attended training that was relevant to the people they supported.
People received care and support that was personalised to them and respected their likes and dislikes. People engaged in activities they enjoyed and found stimulating. People and relatives felt involved in the development of services provided at Grafton House and they were kept up to date with changes. People’s independence was encouraged and staff respected their privacy and dignity.
People were supported by staff who knew them well and had good relationships with them. People were involved in their own care and information was given to them in a way they could understand. People were involved in decisions about their day-to-day care. When people could not make decisions for themselves, staff understood the steps they needed to follow to ensure people’s rights were upheld.
People were involved in the preparation of meals and had a choice of food to eat which included healthy eating options. People had access to healthcare when needed and staff responded to any changes in their needs promptly.
Staff were supported by the provider and the registered manager who promoted an open and transparent culture.
People were encouraged to express their views to the provider. The provider and registered manager undertook regular quality checks in order to drive improvements. The provider engaged people and their families and encouraged feedback. People felt confident they were listened to and their views were valued.