What the CQC found at Adam House

Support plans included people's needs, choices, interests and preferred ways of receiving support. They also included signs of changes in wellbeing to help staff respond.

“People had individual care and support plans, which had been developed in response to their needs and preferences.” from the report

People were encouraged to make decisions, develop daily living skills and take part in activities such as shopping, cooking and attending healthcare appointments.

“Records and discussion showed people were supported to be as independent as possible.” from the report

Inspectors found that staff understood people's individual backgrounds and respected their privacy. Bedrooms were for single occupancy and staff were expected to knock before entering.

“People were supported in a way which promoted their privacy and dignity.” from the report

People were supported to access healthcare, take exercise and plan and prepare food. Their dietary needs, likes and dislikes were recorded.

“People using the service were actively involved with planning, preparing and cooking meals as part of their individual skill development.” from the report

Water was sometimes recorded at temperatures above the safe level for vulnerable people, without action being taken. Evidence of electrical checks and some fire checks could not be found during the visit.

“The record of water temperatures from showers, baths and wash basins indicated the water had on occasion, been above the required safe temperature for people who are vulnerable.” from the report

Management responsibilities were shared between the home and another location. Inspectors found delays in accessing information and said the arrangements needed sustained improvement.

“The leadership and administration arrangements needed some sustained improvement, to promote a consistent management of the service.” from the report

The home's checks did not always identify and deal with safety and development issues before the inspection. There was also limited evidence of recent consultation with people about their general experience.

“However, we found shortfalls in assessing and managing risks for the well-being protection and safety of people who used the service.” from the report

There was not enough written information at the home to support people's choices, rights, independence and access to advocacy. The complaints procedure was also not displayed, although people were said to have received a copy.

“There was a lack of information at Adam House to help promote choices, decision making, rights and independence.” from the report