Background to this inspection
Updated
17 September 2015
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.
We contacted the registered manager two working days before our visit and told them of our plans to carry out a comprehensive inspection of the service. This was to make sure that the registered manager and any relevant staff would be available to answer our questions during the inspection process.
The inspection was carried out by one inspector.
On this occasion we did not ask the provider to complete a provider information return (PIR) before our visit. A PIR is a document that asks the provider to give us some key information about the service, what the service does well and any improvements they are planning to make.
To assist with our inspection we asked for some information from a local health and social care professional who had been involved with the service.
Before our inspection we reviewed the information we held about the service. No concerns had been raised about the service.
We looked at a sample of records which included five people’s care plans, three people’s medicines support files, five staff personnel files, staff training records (matrix), and a sample of quality monitoring records.
We spoke with four people who used the service via individual telephone calls, six people who used the service who were attending a regular and planned group activity at the service, five members of staff, and the registered manager of the service.
Updated
17 September 2015
This inspection took place on 22 and 23 July 2015. The inspection was announced to ensure that the registered manager or other responsible person would be available to assist with the inspection visit.
Making Space – Tameside Mental Health Recovery Service is registered to provide personal care and support to people affected by mental ill health living in their own homes. The aim of the service is to maintain people’s independence wherever possible, promote their wellbeing and support their chosen lifestyle.
A registered manager was 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.
The people who we spoke with spoke positively about the attitude and competence of the staff and the reliability of the service being provided.
People who we asked, told us they felt safe and comfortable when being supported by the care staff. Those staff we spoke with understood their responsibilities to protect the wellbeing of the people who used the service.
Staff were able to demonstrate their understanding of the whistle-blowing procedures and were clear about the action they would take if an allegation of abuse was made to them or if they suspected that abuse had occurred.
All the people who we spoke with told us they were aware they had a care plan and that they felt they were included in any discussions about their care and support. Those care records we saw contained enough information to guide staff to deliver the care and support required by people who used the service.
We saw that care plans were reviewed on a regular basis and had been updated when changes had be noted in a person’s support needs.
Staff we spoke with told us they were appropriately trained and that support from the registered manager was good.
The provider had systems in place to monitor the quality of the service and to check that people were happy and satisfied with the service they were receiving. These systems helped the service provider and registered manager to make sure the quality of the service was maintained.
We contacted a health and social care professional who had regular contact with the service, to ascertain their views of the service provided by Tameside Mental Health Recovery Service. No concerns were expressed.