Idelo Limited - 5 Courtenay Avenue

Updated 11 September 2018

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 comprehensive inspection took place on 7 August 2018 and was unannounced.

The inspection was carried out by one inspector.

Before the inspection we looked at information we held about the service. This information included the Provider Information Return (PIR) which the provider had completed before the inspection. The PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We discussed the PIR with the registered manager and trainee manager during the inspection.

During the inspection we observed interactions between staff and people using the service. We spoke with the three people who used the service, the registered manager, a director, trainee manager and two care workers. Following the inspection, we spoke with two relatives of people using the service and a representative of the host local authority quality services team.

We also reviewed a variety of records which related to people's individual care and the running of the service. These records included care files of all the people using the service, three staff records, audits and some policies and procedures.

Updated 11 September 2018

The inspection of Idelo Limited–5 Courtenay Avenue took place on 7 August 2018 and was unannounced.

Idelo Limited–5 Courtenay Avenue is a care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. Idelo Limited–5 Courtenay Avenue provides care and support for up to three people who have learning disabilities, some of whom live with mental health conditions. At the time of our inspection three people were using the service.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support (RRS) and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

The service has a registered manager. A registered manager is a person who has registered with the CQC 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 previous inspection on the 24 and 25 August 2017 we rated the service 'requires improvement' and identified one breach of legal requirement because people were not being protected from financial abuse. We also made a recommendation on improving and developing more effective quality monitoring and improvement processes. At this inspection we found sufficient action had been completed to address the shortfalls we found and improvements to the service had been made.

During this inspection we found there were no breaches of the regulations of the Health and Social Care Act (Regulated Activities) Regulations 2014, and we rated the service overall as Good.

All the people using the service told us that they were happy living in the home and satisfied with the care and support that they received from staff. People using the service told us that staff were kind and they felt safe. Staff engaged with people in a respectful and positive manner.

Arrangements were in place to manage people’s monies effectively and safely. Action had been taken to address the deficiencies we found during the last inspection to do with the management and handling of people’s monies. People using the service were protected and at minimal risk of financial abuse.

The provider had improved and developed the arrangements for monitoring and improving the quality of the service provided to people.

Staff knew people well. They had the skills and knowledge to provide people with the care and support that they needed. Staff received a range of training relevant to their roles and responsibilities. Arrangements had been put in place in place to ensure staff received the refresher training that they needed to remain competent in carrying out their duties in meeting the individual needs of people using the service.

Staff understood their obligations regarding the Mental Capacity Act 2005 (MCA). People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff gained people's consent before providing them with assistance with personal care and other activities.

People's care plans were up to date and personalised. They included details about people’s individual needs and preferences and guidance for staff to follow so people received personalised care and support. Care plans about one person’s specific medical needs were developed following our inspection.

Staff knew people well and had a caring approach to their work and understood the importance of treating people with dignity, protecting people's privacy and respecting their differences and human rights.

People had the opportunity to choose, plan and take part in a range of activities that met their preferences and needs.

Appropriate staff recruitment procedures were in place so that only suitable staff were employed. Staffing levels and skill mix provided people with the assistance and care that they needed.

People were supported and encouraged to raise concerns and/or complaints to do with the service. They were listened to and their concerns addressed appropriately by management staff.

People were supported to access the healthcare services they needed. Staff liaised closely with healthcare professionals to ensure that people’s health and medical needs were identified and met.

People’s medicines were managed safely. The medicines management systems were in the process of being reviewed by management.

People enjoyed the meals provided by the service. Their dietary needs and preferences were accommodated by the service.