Background to this inspection
Updated
31 March 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 12 and 17 January 2017 and was announced.
Prior to the inspection we reviewed the information we held about the service. This included a Provider Information Return (PIR). This form asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed statutory notifications. Statutory notifications are information the provider is legally required to send us about significant events.
The provider was given 48 hours’ notice because the location provides a domiciliary care service for people with learning disabilities. People and staff are often out during the day so we needed to be sure that someone would be in. The inspection was carried out by one inspector.
During the inspection we spoke with four people who used the service and inspected various care records. These included, medicine records, support plans, risk assessments and behaviour management records. We spoke with two members of staff and the provider’s representative. We also sought the views of two health and adult social care professionals.
We observed some people’s medicines being administered to them. We reviewed a selection of records relating to the Mental Capacity Act 2005 and some records relating to Deputyship arrangements under the Court Of Protection. We reviewed two staff recruitment files and the staff training record. We also reviewed a selection of audits, the registered manager’s action plan and records which monitored incidents and accidents.
Updated
31 March 2017
This inspection took place on 12 and 17 January 2017 and it was announced.
At the time of the inspection the service provided support to 11 people who lived with a learning disability and/or autism. People referred to the service as 'Raynsford' so this has been reflected throughout this report. People lived in one building and shared the communal facilities. They had their own private accommodation in the building which they rented through a tenancy agreement.
There was a registered manager in place although not present at the 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.
We made one recommendation for improvement related to guidelines for the administration of some medicines.
'Raynsford' had a warm and welcoming atmosphere. People looked relaxed and told us they liked living there.
People were kept safe and supported to help keep themselves safe when using the community.
Risks to people were identified and people were involved in deciding how these risks would be managed.
People received support to take their medicines.
People’s support was provided by staff who had received training and support to be able to do this and who knew the people well.
People were supported to look after their health and to eat in a healthy way. They had access to appropriate health and social care professionals as needed.
People were supported to make their own decisions about their care and treatment. People’s care and support was provided to them with their consent.
People unable to make decisions independently or who could not provide consent had their care and support provided in a way which protected their best interests.
People told us the staff cared for them and were kind towards them. Staff listened to what people had to say and genuinely wanted to improve their quality of life.
People were treated with respect and given privacy when appropriate. Information about people was kept confidential and secure. People’s family members and friends were welcomed and also supported.
People were actively involved in planning their care and they had opportunities to review this and to make agreed alterations.
People were provided with support to go to work and take part in a full social life, if, this is what they wanted.
People’s right to independence was respected, encouraged and supported where needed.
There were arrangements in place for people to make a complaint and have what was making them unhappy sorted out.
The service was well led but improvements were needed to how the registered provider and registered manager achieved planned improvements to the service. They were aware of this and plans to achieve this were underway.
Feedback from people and their relatives had been sought and all comments reviewed were positive. Health care professional made positive comments about the service.