Background to this inspection
Updated
12 July 2016
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.
This inspection took place on 16 and 20 June 2016 and was announced.
The inspection team consisted of one inspector. The provider was given 18 hours’ notice because the location was a small care home for adults who are often out during the day and we needed to be sure that someone would be in.
We reviewed information we held about the service. We looked at our own system to see if we had received any concerns or compliments about the provider. We analysed information on statutory notifications we had received from the provider. A statutory notification is information about important events which the provider is required to send us by law.
We asked the local authority and Healthwatch for any information they had which would aid our inspection. We used this information to help plan our inspection.
We spoke with two people receiving support, two relatives, one advocate, the registered manager, two care staff members, and two locality managers. We also spoke to a deputy manager from another location who had been involved in a recent transition for someone to Laburnums. We viewed the care and support plans for two people, including assessments of risk and records of healthcare provision and medicines. We saw records of quality checks completed by the provider and incident and accident records.
Updated
12 July 2016
This inspection took place on 16 and 20 June 2016 and was announced.
Laburnums provides accommodation and personal care for up to six adults with a learning disability. At this inspection four people were living there.
A registered manager was in post and present during our inspection. 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 as staff had been trained and understood how to support people in a way that protected them from danger and abuse. The provider undertook investigations into any incidents or accidents to identify learning and to reduce the possibility of reoccurrence.
There were enough staff to support people and to meet their needs. The provider completed appropriate checks on staff before they started work to ensure they were safe to work with people. People received help with their medicines from staff who were trained to safely support them.
People received care from staff who had the skills and knowledge to meet their needs. Staff attended training that was relevant to the people they supported.
Staff were supported by the provider and the registered manager who promoted an open and transparent culture. Staff received regular one on one support sessions where they could discuss aspects of their work and identify any improvements if needed.
People were involved in decisions about their day to day care. When people could not make decisions for themselves staff understood the steps they needed to follow to ensure people’s rights were upheld.
People’s likes and dislikes were known by staff who supported them in a way which was personal to them. People were supported by staff who had positive relationships with them. People were involved in their own care and information was given to them by staff in a way they could understand.
People’s independence was encouraged and staff respected their privacy and dignity. People had access to healthcare when needed and staff responded to any changes in need promptly and consistently.
People and staff felt able to express their views to the management team and felt their opinions mattered. The provider and registered manager undertook regular quality checks in order to drive improvements. The provider engaged people and their families and encouraged feedback. People felt confident they were listened to and their views were valued.