Background to this inspection
Updated
4 July 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 checked 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.
The inspection took place on 9 January 2018 and was unannounced. At the time of our inspection there were seven people using the service.
The inspection was carried out by an adult social care inspector and an expert by experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Prior to the inspection visit we gathered information from a number of sources. We also looked at the information received about the service from notifications sent to the Care Quality Commission by the registered manager. We also spoke with the local authority and other professionals supporting people at the service, to gain further information about the service.
We used a number of different methods to help us understand the experiences of people who used the service. We observed care and support in communal areas and looked at the environment. We spoke with people and their relatives and observed care and support being provided by staff. Some people we spoke with had limited verbal communication. Other people had complex needs and we were unable to verbally seek their views.
We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us. We spoke with two care workers, a senior care worker, and the registered manager. We looked at documentation relating to people who used the service, staff and the management of the service. We looked at three people’s care and support records, including the plans of their care. We saw the systems used to manage people’s medication, including the storage and records kept. We also looked at the quality assurance systems to check if they were robust and identified areas for improvement.
Updated
4 July 2018
The inspection took place on 9 January 2018 and was unannounced. The last comprehensive inspection took place in September 2015 when the registered provider was meeting the regulations. You can read the report from our last inspections, by selecting the 'all reports' link for ’88 Travis Gardens’ on our website at www.cqc.org.uk.
88 Travis Gardens is a care home for people living with a learning disability. The home is situated in Hexthorpe near Doncaster. The service can accommodate up to eight people. The service is provided by Rotherham, Doncaster and South Humber NHS Foundation Trust.
At the time of our inspection there was 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 2008 and associated Regulations about how the service is run.
People were safe from the risk of harm and staff had the knowledge to recognise abuse. Risks associated with people’s care were identified and actions had been put in place to help reduce any hazards. The service had a safe recruitment procedure in place to ensure appropriate staff were employed. There were sufficient staff available to meet people’s needs in a timely manner. People’s medicines were managed in a safe way. People received their medicines as prescribed.
People were supported to eat and drink sufficient amounts to maintain a balanced diet. Snacks and drinks were available throughout the day. Staff were trained to carry out their role and felt they had the necessary skills to do their job. Healthcare professionals were accessed as required. The service was meeting the principles of the Mental Capacity Act 2005.
We observed staff interacting with people who used the service and found they treated people with kindness, respect and compassion. Staff were extremely caring and offered appropriate support to express their views and make decisions about their care. People’s privacy and dignity was maintained and their independence was promoted. Staff used a range of communication skills to ensure people were able to express their views and feel involved in their care.
People received personalised care which was based on their individual needs. A range of social activities and stimulation was provided. The registered provider had a complaints procedure which was displayed in the home.
Audits took place to ensure the service was working in line with the registered providers policies and procedures. A range of meetings took place to enable people to voice their opinions and be involved in the development of the service.