24 January 2019
During a routine inspection
¿ Uxbridge Road is a supported living service that provides 24-hour care and support to nine adults with learning disabilities, complex needs and mental health needs. A team of care staff supported people during the day and there were two staff on shift during the night.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.
People’s experience of using this service:
¿ Some aspects of the service did not consistently promote people’s safety. Reasonable actions were not always taken promptly to mitigate risks to people’s safety and well-being when ensuring the care and the management of the use of equipment that was used as part of that care was safe.
because risk assessments were not always updated and reviewed to mitigate risks associated with the environment and equipment they used.
¿ Some sections of people’s care and risk management plans were not always kept up to date. However, staff knew how to support people to reduce the risks to their safety.
¿ Some records of the medicines being stored for two people were not always accurately maintained. The registered manager investigated and addressed these matters promptly.
¿ The outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways. People's care and support was person-centred, proactive and coordinated. Support focused on promoting people’s choice and control in how their needs were met. Support and interventions were provided in the least restrictive ways. People were supported to have meaningful opportunities and activities. Staff supported people to access mainstream services and specialist health and social care support.
¿ Staff were aware of people's individual needs and preferences and used their knowledge to deliver person centred care. People and their relatives felt that staff cared and treated them with respect and dignity. Staff were very responsive to people’s needs at any given moment.
¿ Staff could perform their roles effectively as they received training, induction, supervision and support to do so.
¿ Staff supported people to manage behaviours that may challenge others in line with best practice.
¿ The registered manager worked in partnership with health and care professionals and the local community. Relatives, staff and other adult social care professionals told us that the service was managed well.
¿ At the time of the inspection both the halls and stairwells in the main house were being re-decorated. Substantial work was also taking place to refurbish the kitchen in the main house.
Rating at last inspection:
¿ We rated the service “good” at our last inspection. We published our last report on 27 July 2016.
Why we inspected:
¿ This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.
Follow up:
¿ We will continue to monitor intelligence we receive about the service until we return to visit as
per our re-inspection programme. We may inspect sooner if we receive any concerning information.