Background to this inspection
Updated
10 September 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.
Two inspectors undertook an unannounced inspection of the service on 4 August 2015.
Prior to the inspection the registered manager completed a Provider Information Return (PIR). This 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 viewed the information in the PIR and information we held about the service, including statutory notifications received, when planning the inspection. Before the inspection we also spoke with a commissioner of the service.
During the inspection we spoke with two people. We spoke with the cluster manager, two permanent support workers and briefly to a bank support worker. We reviewed three people’s care records and medicine administration records. We reviewed the training records for the staff team. We reviewed records relating to the management of the service including complaints, meeting minutes and health and safety checks. We asked the cluster manager to send us some information after the inspection regarding processes to check on the quality of the service, which they provided.
After the inspection we contacted people’s care coordinators from the community mental health team for their feedback about the service. Unfortunately we did not receive any responses.
Updated
10 September 2015
67 Medora Road provides accommodation and support for people with mental health needs in the community. The service can accommodate up to five adults. We undertook an unannounced inspection of the service on 4 August 2015. At the time of our inspection three people were using the service.
At our previous inspection of the service on 4 April 2014 the service was meeting the regulations inspected.
The service had a registered managed. 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 the time of our inspection the registered manager was on annual leave. The service was being supported by the provider’s cluster manager.
People were provided with the support they required and were involved in discussions with staff about what support they wished to receive. People identified the goals they wished to achieve whilst using the service and staff supported them to progress towards them. People were supported to develop their skills to move towards more independent living. People were encouraged and supported to express their wishes and preferences, and people’s choices were respected. People were encouraged to participate in activities and build links in the community.
Staff liaised with the healthcare professionals involved in people’s care. Staff supported people to maintain contact with professionals from the community mental health team and supported them to access healthcare appointments as required.
Staff were aware of the risks to people’s safety, and supported them to maintain their safety in the service and in the community. Staff supported people to manage and minimise the risks to their safety and the safety of others. Staff were aware of triggers to people displaying aggressive behaviour and intervened when possible to dissolve situations. Staff provided people with the opportunity and time to discuss any concerns, worries or frustrations they had. Staff discussed with the registered manager any incidents that occurred, and the team reviewed how they could support people to reduce the incident from recurring.
People were supported with their medicines and received their medicines as prescribed. People’s medicines were stored securely at the service.
Staff had the knowledge and skills to meet people’s needs, and undertook regular training courses. Staff discussed with the registered manager the support they provided and they received advice and guidance about how to support people.
The registered manager and the provider’s management team undertook checks on the quality of the service to ensure people received the support they required, and to ensure staff were supporting them to achieve their goals. The registered manager also checked that staff were adhering to internal procedures to ensure any incidents, complaints or concerns were managed appropriately.