The Old School House is a ‘care home’. People in care homes receive accommodation and nursing or 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.The Old School House can accommodate up to four people with a learning disability or autistic spectrum disorder. Accommodation is based over two floors. The home is situated in the S5 area of Sheffield, South Yorkshire near local shops and public transport. At the time of this inspection, four people were living at The Old School House.
There was a manager at the service who was registered with the Care Quality Commission (CQC). A registered manager is a person who has registered with the CQC 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 and associated Regulations about how the service is run.
Our last inspection at The Old School House took place on 19 July 2017. Whilst the service was rated Good overall, we found one breach of the regulations of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was a breach of Regulation 18: Staffing.
Following the last inspection, we asked the registered provider to complete an action plan to show what they would do, and by when, to improve the key question asking if the service was effective, to at least good.
This inspection took place on 9 July 2018 and was announced. We gave the registered manager 48 hours’ notice of our inspection. We did this because the registered manager is sometimes out of the office at the two other small care homes they manage, and people are often out. We needed to be sure the manager, people receiving support and staff would be available to meet and speak with us.
At this inspection, we found sufficient improvements had been made to meet the requirements of Regulation 18: Staffing, as all staff had been provided with an annual appraisal, as is necessary to enable them to carry out the duties they are employed to perform.
At our last inspection, we rated the service Good. At this inspection, we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and on going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
At this inspection, we found the service remained Good.
Why the service is rated Good.
People who lived at The Old School House communicated in various ways to tell us they felt safe. Family and friends spoke positively about the standard of care and support people received.
Staff were aware of their responsibilities in keeping people safe.
Policies and procedures for the safe management of medicines were in place.
There were robust recruitment procedures in operation to promote people’s safety.
Staff were provided with relevant training and supervision so they had the skills they needed to undertake their role.
People receiving support and their relatives felt staff had the right skills to do their job. They said staff were respectful and caring in their approach.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People’s support plans contained relevant person centred information to inform staff. The support plans had been reviewed to ensure they were up to date.
People were confident in reporting concerns to the registered manager and felt they would be listened to.
There were quality assurance and audit processes in place to make sure the service was running well.
The service had a full range of policies and procedures available to staff.
Further information is in the detailed findings below.