Background to this inspection
Updated
18 November 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 checked whether the provider was 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 6 and 9 October 2017 and was unannounced. The inspection team consisted of one inspector.
Before the inspection 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 reviewed the information included in the PIR along with information we held about the home. This included notifications that we had received from the provider about events that had happened at the service, which the provider is required to send us by law. For example, serious injuries and safeguarding concerns.
We spoke with two people living at Allendale Residential. We also spoke with three relatives as people who lived at the service were not always able to communicate their experiences due to their disability. We also spoke with two staff, a professional who regularly visited the service, the deputy manager and the registered manager. We observed care and support in communal areas and also looked around the service. We viewed two records about people’s care and records that showed how the home was managed which included training and induction records for staff employed at the home and records that showed how the registered manager monitored the service. We also viewed three people’s medication records.
Updated
18 November 2017
We inspected Allendale Residential on 6 and 9 October 2017, which was unannounced. At our last inspection on the 26 January we were unable to rate the service because there were no people using the service at the time of the inspection. Therefore this was the first ratings inspection since the service registered with us (CQC) on the 08 August 2016.
Allendale Residential is registered to provide accommodation and personal care for up to five people. People who used the service predominately had a learning disability. At the time of our inspection there were four people who used the service.
The service had 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 and associated Regulations about how the service is run.
People were kept safe because staff understood how to recognise possible signs of abuse and the actions they needed to take if people were at risk of harm.
People’s risks were assessed in a way that kept them safe whilst promoting and enabling people to be as independent as possible.
We found that there were enough suitably qualified staff available to meet people’s needs in a timely manner. The registered manager made changes to staffing levels when people’s needs changed.
We found medicines were managed in a way that kept people safe from potential harm.
Staff were trained to carry out their role and the provider had safe recruitment procedures that ensured people were supported by suitable staff.
Staff had a good knowledge of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). The MCA and the DoLS set out the requirements that ensure where appropriate decisions are made in people’s best interests where they are unable to do this for themselves. People’s capacity to make specific decisions had been assessed and staff knew how to support people in a way that was in their best interests.
People were supported with their individual nutritional needs and staff supported people to maintain a healthy diet. People were able to access health services when needed with support from staff.
People were treated with care, kindness and respect and staff promoted people's independence and their right to privacy was upheld.
People were supported to be involved in hobbies and interests that were important to them.
People and their relatives were involved in the planning of their care and people’s preferences in care were gained and followed by staff.
The provider had a complaints procedure that was available to people in a format that they understood. There was a system in place to investigate and respond to complaints received.
People, relatives and staff told us that the registered manager was approachable and they were encouraged to provide feedback on the service provided. The registered manager had systems in place to assess and monitor the quality of the service provided.