Background to this inspection
Updated
12 July 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 checked 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 June 2018 and was unannounced. The inspection was undertaken by one inspector.
Prior to the inspection we reviewed the information we held about the service, including statutory notifications submitted about key events that occurred at the service. We also reviewed the information included in the 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.
Throughout the inspection we also spent time in the communal areas of the home observing how staff interacted with people and supported them.
We spoke with three people who used the service, the registered manager, area manager and two members of staff. We looked at three care plans, staff training and records associated with the monitoring of the service, including incidents, safeguarding concerns, audits, maintenance records and complaints.
Updated
12 July 2018
145 Kingsley Road is a ‘care home’. People in care homes receive accommodation and personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
145 Kingsley Road accommodates eight people with a learning disability in one adapted building. The care service has been developed and designed in line with the values that underpin the Registering the Right Support 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. Registering the Right Support CQC policy
There was a registered manager in place. 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 this inspection we found the service remained Good.
People told us they felt safe living in the home. Relatives agreed that their family members were safe. We saw people were happy and trusted the staff. There were systems and processes in place to minimise risks to people. These included making sure staff knew how to recognise and report abuse.
There were adequate numbers of staff available to meet people's needs in a timely manner. Recruitment checks were completed prior to staff being employed which helped make sure staff employed were of good character.
People enjoyed the food provided and were supported to receive adequate food and drink to remain healthy.
Staff were receiving regular training, supervision and appraisal so they were skilled and competent to carry out their role.
People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice.
Staff knew the people they were supporting and provided a personalised service. Support plans were in place detailing how people wished to be supported and people were involved in making decisions about their care. Staff respected the right to confidentiality for people who used the service.
We observed staff the treated people with respect and people’s dignity and privacy was actively promoted by the staff.
A varied range of activities were made available and we saw staff were proactive in engaging people with individual activities of their preferred choice.
Systems were in place to deal promptly and appropriately with any complaints or concerns raised about the service. The registered manager and registered provider treated complaints as an opportunity to learn and improve.
The home was led by an experienced registered manager and management team. The registered provider had systems in place to monitor the quality of the service, seek people's views and make on-going improvements.
The service had an open culture which encouraged communication and learning. People, relatives and staff were encouraged to provide feedback about the service and it was used to ensure continuous improvement. Staff were motivated to perform their roles and worked to empower people to be as independent and as possible.
Further information is in the detailed findings below.