Background to this inspection
Updated
12 September 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
This inspection was carried out by one inspector and an Expert by Experience; an Expert by experience is someone who has had experience of working with this type of service.
Service and service type
24 Manor Park Grove is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
The inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. This information helps support our inspections. We used all this information to plan our inspection.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
Most people who were using the service at the time of our inspection could not talk to us about their experiences of the care provided. We therefore used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We also spoke with four members of care staff, the registered manager a relative and a health and social care professional.
We looked at two people's care records, three staff recruitment records and records relating to the governance of the service. This included quality assurance audits, records of accidents and incidents and complaints records.
Updated
12 September 2019
About the service: 24 Manor Park Grove is a residential care home that was providing personal and nursing care to five people with a learning disability. The care home accommodates people in a domestic style house with some adaptations.
People’s experience of using this service:
Although staff knew people’s needs and the risks people may present, people were not always supported effectively and consistently by staff.
Systems to monitor the quality and safety of the service had not been effective at monitoring and improving the quality of the service.
The home was clean, and people’s rooms were personalised. However, some environmental risk were not well managed.
People were supported to receive their medication as prescribed and systems were in place to ensure only suitable staff were recruited.
The service applied some of the principles and values of Registering the Right Support and other best practice guidance. The care setting was domestic in style and layout providing a comfortable and homely environment for people to live in. However, we saw limited opportunities for people in terms of choice, control, and independence.
We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.
The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.
As part of thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people. The service used some restrictive intervention practices as a last resort, in a person-centred way, in line with positive behaviour support principles.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection:
The last rating for this service was Good (report published February 2019)
Why we inspected
We received concerns that indicated people were not receiving safe care and treatment. As a result, we undertook a focused inspection to review the Key Questions of Safe and Well-led only.
The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.
Enforcement
We have identified breaches in relation to safe care and treatment and good governance at this inspection.
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded
Follow up:
We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.