Background to this inspection
Updated
20 November 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
This inspection was carried out by one inspector.
Service and service type
SENSE - 509 Leeds and Bradford Road is a ‘care home.’ People in care homes receive accommodation and nursing or personal care as a 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.
Notice of inspection
This inspection was announced. We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did
Before the inspection, the provider sent us a provider information return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. This information helps support our inspections. We reviewed information we had received about the service, such as details about incidents the provider must notify CQC about, for example incidents of abuse.
We also reviewed all other information sent to us from stakeholders such as the local authority and members of the public. We used all of this information to plan our inspection.
During the inspection
We spoke with two people to ask about their experience of the care provided. We looked at two people's care records and three medicine records. We spoke with the registered manager, deputy manager and two staff members. We looked at two staff files for recruitment, supervision and appraisal and training records. We also looked at quality monitoring records relating to the management of the service such as audits and quality assurance reports.
Updated
20 November 2019
About the service
SENSE - 509 Leeds and Bradford Road is a residential care home registered to provide accommodation for adults under 65 years of age who require nursing or personal care and have a diagnosis of a learning disability and or a mental health condition. On the day of our inspection four people were living in the home. The service can support up to five people.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using the service
People were supported safely and protected from harm. There were systems in place to reduce the risk of abuse and to assess and monitor potential risks to people.
The management of medicines was safe. Risk assessments had been completed and were regularly reviewed. Incidents and accidents were managed effectively; lessons were learned to prevent future risks.
Staff were skilled and experienced to meet the needs of people who used the service. Staff completed training, supervisions and appraisals.
People said staff were kind and caring. Staff treated people with respect and maintained their dignity. People were involved in decisions about their care. People's right to privacy was maintained by staff.
Staff understood people’s likes, dislikes and preferences and people were offered choices about their care. Staff were provided with specific guidance for how to communicate with people that were unable to verbalise their needs.
People were involved in meal choices and supported to maintain a balanced diet. Health needs were regularly monitored, and staff followed the advice health care professionals gave them.
Staff understood their responsibilities in relation to the Mental Capacity Act 2005. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.
A complaints system was in place and complaints were managed effectively. People told us they knew how to complain if needed.
The provider had quality assurance systems to monitor the quality and safety of the care provided. People were asked for their views and the provider engaged with other agencies and services to improve their knowledge of good practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for the service was good (published 21 March 2017)
Why we inspected
This was a planned inspection based on the rating at the last inspection.
Follow up
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.