Archived: Kelvin Grove

Updated 20 October 2017

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 20 September 2017 and it was unannounced and on 25 September 2017 we received feedback about the service. The inspection was carried out by one inspector from the Care Quality Commission and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Before the inspection, we reviewed the information we held about the service. The provider completed a 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. We also reviewed previous inspection reports and notifications they had sent to us. A notification is information about important events which the provider is required to send us by law.

We spoke with five people who used the service. We spoke with four support staff, and the registered manager for the home.

We reviewed the care records and risk assessments for five people using the service. We checked how medicines and complaints were being managed. We looked at the recruitment and supervision records for two members of staff, and training for all the staff employed by the service. We also reviewed information on how the quality of the service was monitored and managed.

Updated 20 October 2017

We carried out an unannounced inspection on 20 September 2017. The home provides care and support for up to 12 people with mental health needs. There were 12 people being supported at the service on the day of the inspection.

At the last inspection, the service was rated Good. At this inspection we found the service remained Good.

There was a registered manager in post. 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.

People were safe and the provider had effective systems in place to safeguard them. Staff had been trained to recognise signs of potential abuse and keep people safe. People felt safe living at the service. There were risk assessments in place that gave guidance to the staff on how risks to people could be minimised. People’s medicines were managed safely and administered in a timely manner by skilled and trained staff.

The provider had effective recruitment processes in place and there was sufficient staff to support people safely. Staff understood their roles and responsibilities in relation to the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). Staff had supervision, support and effective training that enabled them to support people well.

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 support this practice.

People were supported to have sufficient food and drinks and were supported in a caring and respectful manner. They were also assisted to access other health and social care services when required.

People’s needs had been assessed, and support plans took account of people’s individual needs, preferences, and choices. Independent living was key and people were supported to move into independent living facilities.

The provider had a formal process for handling complaints and concerns. They encouraged feedback from people or their representatives, and acted on the comments received to improve the quality of the service.

The registered manager provided stable leadership and managerial oversight to staff who felt supported in their roles.

There were quality assurance systems in place to monitor the quality of the service provided and to drive continuous improvements.

Further information is in the detailed findings below.