4 and 7 December 2015
During a routine inspection
Karelia Court is located in the West of Hull close to local shops and amenities, with easy access to public transport and community facilities.
The service is registered to provide accommodation and personal care for up to eight people with a learning disability and autistic spectrum disorder. There were six people living at the service on the day of our inspection.
Accommodation is provided in a modern two storey building with eight single bedrooms, two lounges, a dining room with accessible kitchenette, central kitchen and two offices. Bathrooms are shared. The service has a garden and some designated off street parking to the front of the building.
The service has a registered manager. A registered manager is a person who has registered with the Care Quality Commission (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 2008 and associated Regulations about how the service is run. There was a manager registered with the Care Quality Commission (CQC); they had been registered since December 2010.
We undertook this unannounced inspection took place on 4 and 7 December 2015. At the last inspection on 15 May 2014, the registered provider was compliant with all of the outcomes we assessed.
We found staff were recruited safely and there was sufficient staff to support people. Staff received training in how to safeguard people from the risk of harm and abuse. They knew what to do if they had concerns. There were policies and procedures available to guide them.
We found staff had a caring and professional approach and found ways to promote people’s independence, privacy and dignity. Staff provided information to people and included them in decisions about their support and care.
People who used the service had assessments of their needs undertaken which identified any potential risks to their safety. Staff had read the risk assessments and were aware of their responsibilities and the steps to take to minimise risk.
We found people’s health and nutritional needs were met and they accessed professional advice and treatment from community services when required. People who used the service received care in a person centred way with care plans describing their preferences for care and staff followed this guidance.
Staff had received training in legislation such as the Mental Capacity Act 2005, Deprivation of Liberty Safeguards and the Mental Health Act 1983. They were aware of the need to gain consent when delivering care and support and what to do if people lacked capacity to agree to it. When people were assessed by staff as not having the capacity to make their own decisions, meetings were held with relevant others to discuss options and make decisions in the person’s best interest.
We found staff supported people with activities of daily living including access to community facilities and keeping in touch in family and friends.
Staff had access to induction, training, supervision and appraisal which supported them to feel skilled and confident when providing care to people. This included training considered essential by the registered provider and also specific training to meet the needs of people they supported.
There was a complaints process and information provided to people who used the service and staff in how to raise concerns directly with senior managers.
Medicines were ordered, stored, administered and disposed of safely. Training records showed staff had received training in the safe handling and administration of medicines.
People who used the service were seen to engage in a number of activities both within the service and the local community. They were encouraged to pursue hobbies, social interests and to go on holiday. Staff also supported people to maintain relationships with their families and friends.
Karelia Court is located in the West of Hull close to local shops and amenities, with easy access to public transport and community facilities.
The service is registered to provide accommodation and personal care for up to eight people with a learning disability and autistic spectrum disorder. There were six people living at the service on the day of our inspection.
Accommodation is provided in a modern two storey building with eight single bedrooms, two lounges, a dining room with accessible kitchenette, central kitchen and two offices. Bathrooms are shared. The service has a garden and some designated off street parking to the front of the building.
The service has a registered manager. A registered manager is a person who has registered with the Care Quality Commission (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 2008 and associated Regulations about how the service is run. There was a manager registered with the Care Quality Commission (CQC); they had been registered since December 2010.
We undertook this unannounced inspection took place on 4 and 7 December 2015. At the last inspection on 15 May 2014, the registered provider was compliant with all of the outcomes we assessed.
The people who used the service had complex needs and were not all able to tell us fully their experiences. We used a Short Observational Framework for Inspection (SOFI) to help us understand the experiences of the people who used the service. SOFI is a way of observing care to help us understand people who were unable to speak with us. We observed people being treated with dignity and respect and enjoying the interaction with staff. Staff knew how to communicate with people and involve them in how they were supported and cared for.
We found staff were recruited safely and there was sufficient staff to support people. Staff received training in how to safeguard people from the risk of harm and abuse. They knew what to do if they had concerns. There were policies and procedures available to guide them.
We found staff had a caring and professional approach and found ways to promote people’s independence, privacy and dignity. Staff provided information to people and included them in decisions about their support and care.
People who used the service had assessments of their needs undertaken which identified any potential risks to their safety. Staff had read the risk assessments and were aware of their responsibilities and the steps to take to minimise risk.
We found people’s health and nutritional needs were met and they accessed professional advice and treatment from community services when required. People who used the service received care in a person centred way with care plans describing their preferences for care and staff followed this guidance.
Staff had received training in legislation such as the Mental Capacity Act 2005, Deprivation of Liberty Safeguards and the Mental Health Act 1983. They were aware of the need to gain consent when delivering care and support and what to do if people lacked capacity to agree to it. When people were assessed by staff as not having the capacity to make their own decisions, meetings were held with relevant others to discuss options and make decisions in the person’s best interest.
We found staff supported people with activities of daily living including access to community facilities and keeping in touch in family and friends.
Staff had access to induction, training, supervision and appraisal which supported them to feel skilled and confident when providing care to people. This included training considered essential by the registered provider and also specific training to meet the needs of people they supported.
There was a complaints process and information provided to people who used the service and staff in how to raise concerns directly with senior managers.
Medicines were ordered, stored, administered and disposed of safely. Training records showed staff had received training in the safe handling and administration of medicines.
People who used the service were seen to engage in a number of activities both within the service and the local community. They were encouraged to pursue hobbies, social interests and to go on holiday. Staff also supported people to maintain relationships with their families and friends.