Background to this inspection
Updated
15 June 2015
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 13 and 14 April 2015 and was unannounced and the inspection team consisted of two inspectors.
Before our inspection we spoke with the local authority to share information they held about the home. We also looked at our own systems to see if we had received any concerns or compliments about the home. 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 used this information to help us plan our inspection of the home.
On the day of our inspection we spoke with 12 people who used the service, four senior support workers, three support workers, the area manager and the registered manager. We looked at three care plans, risk assessments, medication administration records, accident reports, rotas and quality audits. We observed care practices and how staff interacted with people.
Updated
15 June 2015
This inspection took place on 13 and 14 April 2015 and was unannounced.
Baschurch Care provides accommodation and personal care for people who have a learning disability for a maximum of 26, when we inspected there were 23 people living in the home.
The home had a registered manager in post that was present for 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.
At our inspection in April 2014, the provider was in breach of the regulation because staff were unaware of how to protect people from abuse. The provider sent us an action plan to tell us what they would do to ensure that staff had a better understanding of how to protect people from abuse.
At this inspection people told us that they felt safe. Staff told us that they had received safeguarding training and were aware of how to protect people from potential abuse. People told us that staff were always nearby to support them when needed but staff told us that there were not always enough staff on duty to meet people’s needs. Staff had access to risk assessments that told them how to support people in a safe way. Accidents were recorded, monitored and action taken to reduce further risks. People were supported to take their medicines but these were not always securely maintained or recorded appropriately.
People told us that they were involved in their assessment and care planning and received care and support the way they liked. Staff told us that they were supported by the manager and had access to regular supervision and training. People told us that their consent for care and treatment was obtained. Where people lacked capacity a best interest decision had been recorded to ensure they received the necessary care and support. People told us that they had a choice of meals and could have a drink when they wanted. People confirmed that they had access to other healthcare professionals when needed. We saw that staff treated people with kindness and ensured their privacy and dignity was maintained.
Staff were aware of people’s past history and their interests and this information was included in care records. People said they had access to social activities in and outside the home. Complaints were recorded and showed what action had been taken to resolve them. People told us that they would share any concerns they had with staff and these would be dealt with.
People told us that they were involved in the running of the home and that regular meetings were carried out with them to find out about their experience of using the service. We saw audits were in place to ensure people received a safe and effective service.