14 April 2016
During a routine inspection
Each supported tenancy is managed on a day to day basis by a support team leader and is provided line-manager support by the registered manager. 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.
We looked at how the service protected people from avoidable harm. We found the quality of risk assessments to be variable. Some risk assessments did not provide clear guidance for staff about the action they needed to take to help maintain people’s safety.
We looked at how the service managed people’s medicines. Medicines were not always given as prescribed by the doctor. We found there were no care plans for "as and when required" medication.
We identified concerns about staffing levels in some parts of the service. We looked at recruitment processes and found the service had recruitment policies and procedures in place to help ensure safety in the recruitment of staff.
We found that staff were able to tell us about safe guarding principles and recognised signs of abuse. We felt reassured by the level of staff understanding regarding abuse and their confidence in reporting concerns.
The principles of the Mental Capacity Act 2005 (MCA) had not been embedded into practice and we identified concerns relating to how people’s mental capacity had been assessed prior to asking people who use the service to consent to care.
Staff were not provided with effective support. Supervisions were not always undertaken with staff.
We observed people being supported and saw that staff interacted with people in a kind and caring way. Staff understood the needs of people they supported and it
was obvious that trusting relationships had been created.
We found a number of breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. In relation to safe care and treatment,safeguarding people from abuse, valid consent, good governance and staffing.
You can see what action we told the provider to take at the back of the full version of this report.