Background to this inspection
Updated
7 January 2020
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
One inspector conducted the inspection on 5 and 6 December 2019.
Service and service type
89 Hampton Road East 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. However, the provider informed us three days before the inspection that this registered manager was leaving the organisation.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. This included information about important events the provider had notified us about that had happened at the service. 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. We used all of this information to plan our inspection.
During the inspection
During the inspection we met four people who lived at the service. The people had complex needs and could not describe to us how they felt about living at the service. We 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 spoke with four support workers, the team co-ordinator, and the provider’s positive behaviour support specialist. We also met with an interim service manager and the provider’s operational manager. We looked at the care plans for two people, the care records of four people, as well as medicines support records and a variety of systems related to the management of the service.
After the inspection
We continued to seek further information and clarification from the provider to validate evidence found. We spoke with four relatives and an adult social care professional who has worked with the service. We also tried to speak with another professional.
Updated
7 January 2020
About the service
89 Hampton Road East is a care home providing personal care for up to seven adults with learning disabilities. Seven people were using the service at the time of the inspection.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service
Staff were caring, treated people with respect and promoted their dignity, privacy and independence. Relatives said they felt people were safe and their care needs met.
People had detailed care and risk management plans and these were regularly reviewed. Plans reflected people’s physical, mental, emotional and social needs and their care and support preferences. Staff were aware of and responsive to people's individual needs and how they wanted to be supported.
Staff supported people to manage behaviours that may challenge others in line with good practice. Staff felt supported by their managers and received an induction, training and regular supervision.
People were supported to be healthy and to access healthcare services. People received their medicines in a safe way and as prescribed. Staff supported people with their food and drinks appropriately.
The provider sought feedback about the service from people’s relatives and other stakeholders The provider had suitable processes in place for responding to complaints and concerns and used these to develop the service.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
The provider had arrangements in place to monitor the quality of the service and identify and take action when improvements were required.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
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 (published 1 June 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.