Background to this inspection
Updated
6 May 2016
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.
The inspection took place on 15 March 2016 and was conducted by a single inspector. The inspection was unannounced.
Prior to the inspection we reviewed the information we held about the service. We contacted a representative from the local authority safeguarding team and spoke to two healthcare professionals who worked with the service to obtain their feedback.
We spoke with three care workers (known as domiciliary care officers within the organisation), two care coordinators (who line managed the care workers) the registered manager and the manager of the service. We also spoke with eight people using the service. We looked at a sample of five people’s care records, four staff records and records related to the management of the service.
Updated
6 May 2016
We conducted an inspection of 60 Penfold Street on 15 March 2016. 60 Penfold Street is a supported living service for older people, some of whom have dementia, mental health issues or other physical disabilities. There are 43 self-contained flats in the extra care unit and a specialist dementia unit with eight bedsits. There were 43 people using the service when we visited. At our previous inspection on 23 January 2014 the service met the regulations we inspected.
There was a registered manager at the service. 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.
Staff had completed medicines administration training within the last two years and were clear about their responsibilities.
Risk assessments and support plans contained clear information for staff. Records were reviewed within six months or where the person’s care needs had changed.
Staff demonstrated knowledge of their responsibilities under the Mental Capacity Act 2005. Care records contained some consent forms demonstrating people’s valid consent had been obtained for various matters relating to the care and support they received.
Staff demonstrated an understanding of people’s life histories and current circumstances and supported people to meet their individual needs in a caring way.
People using the service were involved in decisions about their care and how their needs were met. People had care plans in place that reflected their assessed needs.
Recruitment procedures ensured that only staff who were suitable, worked within the service. There was an induction programme for new staff, which prepared them for their role. Staff were provided with appropriate training to help them carry out their duties. Staff received regular supervision. There were enough staff employed to meet people’s needs.
People were supported to maintain a balanced, nutritious diet. People were supported effectively with their health needs and were supported to access a range of healthcare professionals.
People using the service and staff felt able to speak with the registered manager and provided feedback on the service. They knew how to make complaints and there was a complaints policy and procedure in place.
The organisation had adequate systems in place to monitor the quality of the service. The registered manager reviewed all care records and daily notes completed by care workers. We saw evidence that feedback was obtained by people using the service and the results of this was positive.