Background to this inspection
Updated
17 August 2018
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.
Inspection site visit activity took place on 22 June 2018. It included a visit to the location to speak with the registered manager and staff; and to review care records and policies and procedures. The inspection was announced. One adult social care inspector carried out the inspection. We also spoke with family members and contacted health and social care professionals on 25 June 2018.
Some of the people who used the service had complex needs which limited their verbal communication. This meant they could not always tell us their views of the service so we carried out observations and spoke with five of their family members. In addition to the registered manager, we also spoke with three members of staff and received feedback from two health and social care professionals. We looked at the care records of three people who used the service and the personnel files for three members of staff.
Before we visited the service we checked the information we held about this location and the service provider, for example, inspection history, statutory notifications and complaints. A notification is information about important events which the service is required to send to the Commission by law. We contacted professionals involved in caring for people who used the service, including commissioners and safeguarding staff.
A Provider Information Return (PIR) was not requested for this service. A PIR is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
Updated
17 August 2018
This inspection took place on 22 and 25 June 2018 and was announced. This was to ensure someone would be available to speak with us and show us records.
Grindon Mews Short Break Centre is a respite ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
Grindon Mews Short Break Centre accommodates up to six adults with physical and multiple learning disabilities in one purpose built building. At the time of our inspection, the service supported up to 34 people with respite care.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
The service had a registered manager in place. A registered manager is a person who has registered with CQC to manage the service. Like 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.
Grindon Mews Short Break Centre had not previously been inspected by CQC.
Accidents and incidents were appropriately recorded and investigated. Risk assessments were in place for people who used the service and described potential risks and the safeguards in place to mitigate these risks. The registered manager understood their responsibilities with regard to safeguarding and staff had been trained in safeguarding vulnerable adults.
Medicines were stored safely and securely, and procedures were in place to ensure people received medicines as prescribed.
The premises were clean, spacious and suitable for the people who used the service. Appropriate health and safety checks had been carried out.
There were sufficient numbers of staff on duty in order to meet the needs of people who used the service. The provider had an effective recruitment and selection procedure in place and carried out relevant vetting checks when they employed staff. Staff were supported in their role via appropriate training and regular supervisions.
People were supported to have maximum choice and control of their lives, and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People were protected from the risk of poor nutrition and staff were aware of people’s nutritional needs. Care records contained evidence of people being supported during visits to and from external health care specialists.
Family members were complimentary about the standard of care at Grindon Mews Short Break Service. Staff treated people with dignity and respect and helped to maintain people’s independence where possible.
The service was effective at supporting people to move between services and responded to the individual needs of people. Care records showed that people’s needs were assessed before they started using the service and support plans were written in a person-centred way. Person-centred is about ensuring the person is at the centre of any care or support plans and their individual wishes, needs and choices are taken into account.
Activities were arranged for people who used the service based on their likes and interests, and to help meet their social needs. The service had good links with the local community.
People who used the service and family members were aware of how to make a complaint. The provider had an effective quality assurance process in place. People who used the service, family members and staff were regularly consulted about the quality of the service via meetings and surveys.