First inspection of Teddy's Haven supported living service rated Good overall and across all five key questions, with people receiving safe, person-centred care from a knowledgeable team led by a mental health nurse registered manager. CQC recommended reviewing staff training and induction to fully meet Care Certificate Standards and include mental health-specific training, and noted some governance checks were not always formally recorded.
Concerns (5)
moderate
Staff training
: “We were not always assured that staff training was of a sufficient standard. It is expected that the provider follow the Care Certificate Standards when providing training for staff.”
moderateStaff training: “On induction, staff were completing up to 24 courses in one day.”
moderateStaff training: “People using the service had mental health support needs. There was no formal training in supporting people with mental health conditions.”
minorGovernance: “Some checks on documentation were not always recorded, to evidence they had taken place and actions taken.”
minorRecord keeping: “Some checks on documentation were not always recorded, to evidence they had taken place and actions taken. The registered manager told us they would begin recording these checks and formalising them.”
Strengths
· People felt safe and were protected from avoidable harm, abuse and discrimination.
· Detailed risk assessments covered mental health, daily living and independence-promoting activities.
· Sufficient 24-hour staffing and suitable recruitment with DBS, identity and right-to-work checks.
· Medicines were administered safely by trained staff.
· Registered manager (a mental health nurse) carried out detailed needs assessments and gave staff in-house guidance.
Quality-Statement breakdown (25)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Staff support: induction, training, skills and experienceRequires improvement
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies; supporting people to access healthcareGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and controlGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships and follow interestsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportNot rated
well-led: Promoting a positive, person-centred, open and empowering cultureGood
well-led: Duty of candour and being open and honest when something goes wrongGood
well-led: Managers and staff being clear about roles, quality, risks and regulatory requirementsGood
well-led: Engaging and involving people, public and staffGood
well-led: Continuous learning and improving careGood