23 July 2019
During a routine inspection
45 Hall Green Road provides accommodation and or personal care for up to eight people living with a learning disability, autistic spectrum disorder or acquired brain injury. At the time of this inspection eight people were living there.
People’s experience of using this service and what we found
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. However, people were not always supported to have maximum choice and control of their lives and the provider did not always support them in the least restrictive way possible or in their best interests; the application of the policies and systems was inconsistent and did not always support good practice. Voyage Care published people’s private and personal information on their website without the consent of the person or identifying if it was in their best interests.
People were not always safe as the systems and procedures at 45 Hall Green road were ineffective in identifying improvements needed in safety.
People did not always receive their medicines safely. When people had prescribed medicated creams for pain control the information provided was inconsistent and unclear for staff members to consistently and safely follow. Staff members did not date topical medicines when they commenced their use.
The infection prevention and control measures and checks were ineffective in identifying and correcting defective equipment.
The providers quality monitoring procedures were ineffective in identifying the improvements which were needed to drive good care and support.
People were protected from harm and abuse as the staff team had been trained to recognise potential signs of abuse and understood what to do. People had information on how to raise concerns and were confident any issues would be addressed correctly.
People had individual assessments of risk associated with their care and support.
Staff members were aware of the necessary action they should take in the event of an emergency.
The provider supported staff in providing effective care for people through person-centred care planning, training and one-to-one supervision.
People had access to additional healthcare services when required.
People were supported to maintain a healthy diet by a staff team which knew their individual likes and dislikes.
People received help and support from a kind and compassionate staff team with whom they had developed positive relationships.
People were supported by staff members who were aware of their individual protected characteristics like age, gender, disability and religion.
People were provided with information in a way they could understand. The provider had systems in place to encourage and respond to any complaints or compliments from people or those close to them.
The provider, and management team, had good links with the local communities within which people lived.
Rating at last inspection
The last rating for this service was ‘Good’ overall with requires improvement for the safe domain (published 27 March 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Enforcement
We have identified breaches in relation to the need for consent and the overall governance at 45 Hall Green Road.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for 45 Hall Green Road on our website at www.cqc.org.uk
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.