Background to this inspection
Updated
19 March 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: The inspection team consisted of one adult social care inspector.
Service and service type: The Foothills is a small care home providing care for people who have a mental health illness. People who use care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection: We gave the service 48 hours’ notice of the inspection visit because this is a small service and we needed to be sure that the manager would be at the home.
What we did: Before the inspection we reviewed information, we held about the service including notifications the service was required to send us about things happening in the home and at the shared lives scheme. We also contacted the local authority commissioning and safeguarding teams who raised no concerns with us about the service.
In addition, the provider completed a Provider Information Return (PIR). Providers are required to send us key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
During the inspection of The Foothills we spoke with two people who used the service, one relative of a person who used the service, the registered manager, the nominated individual and three support workers. We also reviewed the care and medication records of two people and records relating to the management of the service. We observed interactions between staff and people who used the service.
Updated
19 March 2019
About the service: The Foothills is a three bedroom modern house on the outskirts of Rochdale. The service provides personal care for up to four people with a mental health illness. There were three people accommodated at the home on the day of the inspection.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.
People’s experience of using this service:
People told us they felt safe living at the service. There were systems in place to protect people from abuse.
Risk assessments were in place to identify possible risks to people`s health and well-being and measures were implemented to manage the risks.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.
There were sufficient staff to meet people’s needs. During the day staffing was usually on a one to one basis so people could attend activities of their choice.
People were involved in discussions about their care and had regular meetings with their allocated key worker to review their physical and mental health. People also had chance to discuss their views at regular house meetings.
People were encouraged to engage in activities, pursue hobbies and socialise. People were encouraged to remain in contact with their family and friends.
People were encouraged to be independent. Staff supported people to maintain or improve their life skills such as cooking.
Staff received an induction when they commenced working at the service and further training was provided in all key topics. This ensured staff had the skills to meet people’s needs.
The provider`s governance systems and processes were effective and identified areas of the service where improvements were needed. The registered manager and the provider completed regular audits to ensure the service provided to people was effective and safe.
The service met the characteristics for a rating of "good" in all the key questions we inspected. Therefore, our overall rating for the service after this inspection was "good".
Rating at last inspection: The rating at the last inspection of 09 September 2016 was good.
Why we inspected: This was a planned inspection based on the rating at the last inspection. The service remained rated Good overall.
Follow up: We will continue to monitor the service through information we receive and future inspections.