Background to this inspection
Updated
10 December 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 22 October 2015. We gave the provider short notice of our visit to make sure the manager was available to help with the inspection.
The inspection team comprised one inspector.
Before the inspection, we reviewed the information we held about the service. This included the last inspection report, the action plan the provider sent us detailing how they would address the breaches we identified and statutory notifications the provider sent us about significant incidents that affected people using the service. At the last inspection, we rated the service as inadequate and placed it in special measures. As part of this inspection, we checked to see that the provider had made progress to improve standards in the service.
During the inspection we spent time with the four people using the service and saw how they interacted with the staff who supported them. We spoke with two members of staff, the new registered manager and a member of the provider’s quality assurance team.
We looked at the daily care and support records for all four people, two people’s care plans and risk assessments, medicines records for one person and other records related to the running of the home. These included audits carried out by the provider, registered manager and staff.
Updated
10 December 2015
This inspection took place on 22 October 2015. We gave the provider short notice of our visit to make sure the manager was available to help with the inspection. At our last inspection on 2 and 5 June 2015, we found six breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The overall rating for this service following our inspection in June 2015 was ‘Inadequate’. This meant that the Care Quality Commission (CQC) placed the service into ‘Special measures’. The purpose of special measures is to:
• Ensure that providers found to be providing inadequate care significantly improve.
• Provide a framework within which we use our enforcement powers in response to inadequate care and work with, or signpost to, other organisations in the system to ensure improvements are made.
• Provide a clear timeframe within which providers must improve the quality of care they provide or we will seek to take further action, for example cancel their registration.
Precinct Road is a service providing accommodation and personal care for up to five adults with a learning disability. When we inspected, four people were using the service.
The provider appointed a manager on 22 June 2015. The new manager has registered with the CQC. 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 provider had taken action to address all of the breaches we identified following our inspection in June 2015 and the quality of care and support provided in the service had greatly improved.
The provider had carried out work to address risks to people using the service.
The provider recorded and reported possible safeguarding concerns to the local authority and the CQC.
The provider did not deprive people of their liberty without authorisation.
The provider had arranged for the redecoration of all parts of the premises and the replacement of carpets on the stairs and some communal areas.
The registered manager and support staff had reviewed and updated their assessments of people’s social care needs.
There was a creative and person-centred approach to the support staff gave people to access meaningful activities.
The provider had appointed a new manager and they had registered with the CQC.
The provider had systems in place to monitor the operation of the service. The provider, registered manager and staff carried out regular checks and audits.
Following our last inspection, we placed the service in special measures. For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. As the provider has demonstrated improvements and the service is no longer rated as inadequate for any of the five questions, it is no longer in special measures.