This inspection took place on 27 April 2017 and was unannounced. At the last inspection of the service in March 2016 we found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. People using the service were not able to leave without support from staff. The provider did not always obtain authorisation before some people were deprived of their liberty as they had not applied to the local authority under the Deprivation of Liberty Safeguards (DoLS). At this inspection we found that the registered manager had applied to the local authority for DoLS authorisations, where they required these to keep people safe in the service. 89 Hampton Road East is a care home providing accommodation and personal care for up to seven men and women with a learning disability. At the time of this inspection, six people were using the service.
The service had a registered manager who also managed a second location for the provider, situated next to 89 Hampton Road East. 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 provider had systems in place to protect people. Staff were trained and understood and followed the provider’s procedures.
There were enough staff on duty to meet people’s care and support needs and the provider carried out checks on new staff to make sure they were suitable to work in the service.
The provider carried out checks on the environment and equipment used in the service to make sure people were safe.
The provider, registered manager and staff understood their responsibilities under the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. People were not deprived of their liberty unlawfully.
Staff had the training and support they needed to care for people using the service.
People’s nutritional and health care needs were met in the service, staff worked well with other agencies and professionals and people received their medicines safely.
The atmosphere in the service was relaxed and support staff interacted positively with people using the service.
Staff, including the registered manager, had a good understanding of each person’s care and support needs, daily routines, preferences and behaviours.
People’s relatives told us they were involved in planning the care and support their family members received.
Support staff reviewed each care plan area monthly and there was evidence that people had been involved in discussions about their care, support and any risks that were involved in helping them live their lives.
The service had a registered manager who was appointed in September 2015 and registered by the Care Quality Commission in March 2016.
The registered manager was able to tell us about each of the people who lived at the service including their support needs, significant people and events in their lives and their preferences and daily routines.
The registered manager engaged fully with our inspection and we saw they had positive relationships with people using the service and staff.
The provider had systems in place to monitor quality in the service and make improvements.