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Care Services

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Pathways (North West) Limited - Blackburn Road, Great Harwood, Blackburn.

Pathways (North West) Limited - Blackburn Road in Great Harwood, Blackburn is a Nursing home and Residential home specialising in the provision of services relating to accommodation for persons who require nursing or personal care, caring for adults over 65 yrs, caring for adults under 65 yrs, mental health conditions and treatment of disease, disorder or injury. The last inspection date here was 30th May 2018

Pathways (North West) Limited - Blackburn Road is managed by Pathways North West Limited who are also responsible for 2 other locations

Contact Details:

    Address:
      Pathways (North West) Limited - Blackburn Road
      175 Blackburn Road
      Great Harwood
      Blackburn
      BB6 7LU
      United Kingdom
    Telephone:
      01254829216
    Website:

Ratings:

For a guide to the ratings, click here.

Safe: Requires Improvement
Effective: Good
Caring: Good
Responsive: Good
Well-Led: Good
Overall: Good

Further Details:

Important Dates:

    Last Inspection 2018-05-30
    Last Published 2018-05-30

Local Authority:

    Lancashire

Link to this page:

    HTML   BBCode

Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

30th April 2018 - During a routine inspection pdf icon

We carried out an unannounced comprehensive inspection on 30 April 2018.

Pathways (North West) Limited – Blackburn Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual

agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Pathways (North West) Limited – Blackburn Road is registered to provide accommodation and personal care for up to seven people with a mental health diagnosis. There were seven people living in the service on the day of our inspection. Staff employed to support people were referred to as life skills trainers which reflected the rehabilitation focus of the service.

The home did not have a registered manager in place. 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. A new manager had been appointed since the last inspection. They were in the process of applying to CQC to register as manager of the home.

At our last comprehensive inspection on 5 April 2017, we found the provider was not meeting two of the regulations we reviewed. We therefore asked the provider to take action in relation to the recruitment of staff and the systems in place to monitor the quality and safety of the service.

Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key questions ‘Safe’ and ‘Well-led’ to at least good. During this inspection we found recruitment processes had been improved, although one aspect of the process needed further action. This was because reasons for gaps in applicants’ employment history had not been properly investigated and documented by the staff at head office who were responsible for the recruitment process. We found systems in place to monitor the quality and safety of the service were now sufficiently robust.

People told us they felt safe in the home and staff were kind, caring and respectful towards them. Staff had completed safeguarding training and were able to tell us the correct action to take should they witness or suspect abuse. People told us there were always sufficient numbers of staff on duty to support them with activities or daily living tasks.

Robust systems were in place for the safe handling of medicines. Staff had received training in how to administer medicines safely. Their competence for this task was assessed when they started work at the home. The manager confirmed they would ensure these competence assessments were completed on an annual basis.

Care records we reviewed included detailed information about the risks people might experience. Care plans were in place to help ensure staff provided the level of support necessary to manage the identified risks. Care plans were regularly reviewed to address any changes in a person’s needs.

Systems were in place to help ensure the safety and cleanliness of the environment. People who used the service were encouraged to participate in cleaning the home.

Staff told us they received the induction, training and support necessary for them to be effective in their role. The provider had recently introduced a new training system which staff told us was good quality and appropriate to help them meet the needs of people who lived in the home.

Staff had a good understanding of the Mental Capacity Act (MCA) 2005. 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 encouraged to have a healthy diet, although staff recognised people were able to make their own choices about the

5th April 2017 - During a routine inspection pdf icon

This was an unannounced inspection which took place on 5th April 2017. We had previously inspected the service in October 2014 when we found it to be meeting all the regulations we reviewed.

Pathways (North West) Limited – Blackburn Road is registered to provide accommodation and personal care for up to seven people with a mental health diagnosis. There were six people living in the service on the day of our inspection. Staff employed to support people were referred to as life skills trainers which reflected the rehabilitation focus of the service.

The service had a registered manager in place as required by the conditions of their registration with the Care Quality Commission (CQC). 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.

During this inspection we identified two breaches of the Health and Social Care Act (HSCA) 2008 (Regulated Activities) Regulations 2014. This was because recruitment processes were not sufficiently robust to adequately protect people from the risk of unsuitable staff. The provider had not carried out the required additional checks when people had worked previously with vulnerable adults or children to ascertain why their employment in that service had ended. In addition the provider’s management systems had not been robust enough to identify the shortfalls we found during the inspection. Action plans were not always in place following audits. Some action plans did not identify who was responsible for required actions or the timescales in which they should be completed. This had resulted in the same issues being identified in two consecutive audits related to people’s care records and one person’s prescribed medicines. You can see what action we have told the provider to take at the back of the full version of the report.

People who used the service told us they felt safe with the staff who supported them. They told us staff were always available to support them in the activities they wished to do. People were enabled to make their own decisions and told us staff always promoted their independence. During the inspection we observed staff were caring and respectful in their interactions with people who used the service.

Staff had received training in the safe administration of medicines. The competence of staff to administer medicines safely was regularly assessed.

Care records we reviewed included detailed information about the risks people might experience. Care plans were in place to help ensure staff provided the level of support necessary to manage the identified risks. Care plans were regularly reviewed to address any changes in a person’s needs.

Systems were in place to help ensure the safety and cleanliness of the environment. People who used the service were encouraged to participate in cleaning the home.

Staff told us they received the induction, training and supervision they needed to be able to carry out their roles effectively. Staff were able to demonstrate a good understanding of the legal frameworks under which individual’s placements at the home were arranged. The registered manager had also taken appropriate action to apply for restrictions in place in a person’s best interests to be legally authorised.

Staff demonstrated a commitment to providing high quality person-centred care. People were supported to achieve their rehabilitation goals. Care records we looked at showed people who used the service had been involved in reviewing their care and support plans. The nationally recognised Recovery Star was used to help people recognise the goals they had achieved. People who used the service were encouraged to participate in activities which met their interests and helped to promote their healt

29th October 2014 - During a routine inspection pdf icon

Pathways Northwest Limited 175 Blackburn Rd is registered with the Care Quality Commission (CQC) to provide personal care and accommodation to seven adults with mental health problems. At the time of our visit there were seven people living in the home. Personal accommodation is provided in single rooms, two with en-suite facilities. There are separate communal lounges and dining facilities and there are two bathroom/shower areas.

This unannounced Inspection took place on the 29th October 2014 and was carried out by one Adult Social Care Inspector.  Our previous Inspection was undertaken in June 2013 when we found that the service was meeting all of the outcomes we assessed.

People told us they felt safe using the service. Staff were trained in safeguarding adults and the service had policies and procedures in place to ensure the service responded appropriately to allegations or suspicions of abuse. The service ensured that people’s human rights were respected and took action to assess and minimise risks to people. Staff had received training on behaviour that may challenge and the service consulted with other professionals about managing aspects of behaviour safely.

CQC is required by law to monitor the operation of the Deprivation of Liberty Safeguards (DoLS). We found the location to be meeting the requirements of DoLS. There had recently been an application in respect of an individual under the DoLS process

All of the people we spoke with said staff were approachable, they could chat with the staff and they were listened to. Throughout our inspection we observed staff were caring and attentive to people. Staff showed dignity and respect and demonstrated a good understanding of people’s needs.

There were enough qualified and skilled staff at the service. Staffing was managed flexibly to suit people's needs so that people received their care when they needed it. Staff had access to information, support and the training they needed to do their jobs well. The provider’s training programme was designed to meet the needs of people using the service so that staff had the specialist knowledge they required to care for people effectively.

People were provided with a range of activities in and outside the service which met their individual needs and interests. The service supported people to be as independent as possible. People were encouraged to build and develop their independent living skills both in the home and in the community.

Care plans contained information about the health and social care support people needed and records showed they were supported to access other professionals when required.

People agreed to the level of support they needed and how they wished to be supported. Where people's needs changed, the provider responded and reviewed the care provided.

Staff and people that used the service told us they found the new registered manager to be approachable and accessible. We observed an open and inclusive atmosphere in the service and the registered manager led by example.

Staff were happy working for the service and motivated to provide person centred care.

The provider had a number of audits and quality assurance programmes in place. These included action plans so the provider could monitor whether necessary changes were made and ensure high standards were being maintained.

The service had effective procedures for reporting and investigating incidents and accidents. There were systems to learn from incidents and adverse events and protect people from the risks of similar events happening again.

14th June 2013 - During a routine inspection pdf icon

We spoke with two people living in the home who told us they were happy with the care and support they received. Comments included, "It's somewhere to help me and the staff are really good; I'm very happy here", "I can do what I want to do and can get help if I need to" and "I'm very well looked after;they are lovely caring staff".

Records we looked at showed people's needs were assessed and care and treatment was planned and delivered in line with the individual care plan. We found that the care plans were accompanied by risk assessments and risk management plans to ensure people were protected from unsafe care practices.

People we spoke with told us they received appropriate support with their medication. We found evidence that there were effective systems in place for the safe administration of medicines.

We saw evidence that there were effective recruitment procedures in place to ensure that people who used the service were protected from harm good staff recruitment.

10th July 2012 - During a routine inspection pdf icon

People told us they were satisfied with the quality of care and support they received. We were told the staffing levels were sufficient to meet the needs of people living in the home and that the staff were professional, caring and friendly.

People made various positive comments about the staff team.

Comments supporting this view included: "They talk to me about my day to day things and ask if anything has changed or do I want things doing differently."

"I feel really well looked after here."

People were provided with care plans which were reviewed regularly and updated when

required. People said they felt safe living in the home and were able to discuss concerns or issues with the staff if they wished to. We were told that the service provided enjoyable and varied activities for people.

There were comprehensive auditing and reviewing procedures in place to identify any

areas where improvements could be made.

 

 

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