89a Hampton Road East

About the service

89a Hampton Road East is a care home that is registered to provide personal care for up to seven people aged 18 and over. It supports people with a learning disability and mental health needs.

At the time of the inspection seven people were living at the home. People had their own bedrooms with ensuite bathrooms. They shared the kitchen, dining room, laundry facilities, garden and two living rooms. A team of support staff supported people during the day and overnight.

People’s experience of using this service and what we found

The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture. This was a focused inspection and we did not look at all aspects of care and support. They demonstrated they were meeting the areas reviewed as part of our inspection.

Right Support

The service supported people to have the maximum possible choice, independence and control over their own lives. Staff focused on people’s strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life. They supported people to pursue their interests, develop new skills and achieve their aspirations and goals. Relatives praised the service highly and one told us, “I think they are fantastic and I feel lucky we found them.” Staff found creative ways to promote people’s independence, learning and involvement in the community. They supported people to play an active role in maintaining their own health and wellbeing. The service involved people and their families in discussions about how they received support, including support to travel wherever they needed to go. People had a choice about their living environment and were able to personalise their rooms.

Right Care

Staff promoted equality and diversity in their support for people. They understood people’s cultural needs and provided culturally appropriate care. People’s care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life. People received care that supported their needs and aspirations, was focused on their quality of life, and followed best practice. People could take part in activities and pursue interests that were tailored to them. The service gave people opportunities to try new activities that enhanced and enriched their lives. Staff and people cooperated to assess risks people might face. Where appropriate, staff encouraged and enabled people to take positive risks.

Right Culture

Relatives and professionals said the home was managed well. People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff. People received good quality care, support and treatment because trained staff and specialists could meet their needs and wishes. Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing. People’s quality of life was enhanced by the service’s culture of improvement and inclusivity. Staff valued and acted upon people’s views.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (11 July 2019). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 10 and 13 May 2019. A breach breaches of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve the systems in place to monitor the quality of the service. We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Effective and Well-led which contain those requirements. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for 89a Hampton Road East on our website at www.cqc.org.uk.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

89a Hampton Road East is a care home that is registered to provide personal care for up to seven people aged 18 and over. It supports adults with learning disabilities and mental health needs.

At the time of the inspection six people were living at the home. People had their own bedrooms with en-suite bathrooms. They shared the kitchen, dining room, laundry facilities, garden and two living rooms. A team of support staff supported people during the day and overnight.

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. These are to ensure 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 should receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service and what we found

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people's care and support was person-centred, planned and coordinated. People were supported to gain new skills, to develop more independence and to have meaningful opportunities and activities. Staff supported people to access mainstream services and specialist health and social care support.

We found a cleaning substance was not stored securely and this may have presented a risk to some people using the service. The manager addressed this immediately during the inspection.

One person’s daily support arrangements were not fully recorded in their current support or risk management plans. The provider responded by stating the person’s support arrangements would be reviewed and updated immediately following the inspection.

The provider had systems to monitor the quality of the service, but these had not been sufficiently robust to have identified, or taken timely action on, the areas for improvement we identified.

Staff were aware of people's individual needs and preferences and used this knowledge to deliver person centred care. People and their relatives felt that staff cared and treated them with respect and dignity.

Staff were responsive to people’s needs and helped people to be independent.

Staff supported people to manage behaviours that may challenge others in line with best practice.

People had detailed support plans in place and these were regularly reviewed. Plans reflected people’s physical, mental, emotional and social needs and their care and support preferences.

Staff received training, induction, supervision and support to perform their roles effectively.

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 29 November 2016).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified one breach in relation to having systems in place to monitor the quality of the service. Please see the action we have told the provider to take at the end of this report.

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.

89a Hampton Road East is a care home for up to seven people with a learning disability. When we inspected, six people were using the service. The service had a registered manager who also managed another of the provider’s locations situated next door to the service.

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.

The provider had systems in place to support people safely and staff working in the service understood and implemented these. There were enough staff to support people safely and the provider carried out checks on new staff to make sure they were suitable to work in the service.

People’s care records showed they had been involved in planning their own care and support and had consented to this.

Staff had the training, support and information they needed to care for people.

The provider, registered manager and staff understood their responsibilities under the Mental Capacity Act 2005 and the Deprivation of Liberty of Liberty Safeguards. Where restrictions were in place to keep people safe, this was done lawfully.

People received the support they needed to meet their healthcare needs. People received the medicines they needed safely.

People were supported by kind, respectful and polite staff. Support staff offered people choices about aspects of their daily lives and respected people's privacy.

The provider, registered manager and support staff assessed and recorded people’s individual care needs and based their support plans on these assessments. The provider’s care planning systems were centred on the individual. People’s support plans were personalised and gave support staff clear guidance about how to meet people’s identified needs.

People using the service, their relatives and other people were asked for their views on the service.

The registered manager had a good knowledge of all of the people who lived at the service including changes in their needs, their preferences and social history.

There was a welcoming and friendly atmosphere at the service.

The provider and registered manager undertook a range of audits and checks to monitor quality in the service and identify where they could make improvements.

We found people were involved in their care and they were able to carry out independent tasks such as cooking, washing and cleaning. They also had a range of activities to participate in and each person had their own individual timetable which was displayed in the home so they knew what was happening on each day. We found the service encouraged people to be active members of the community, for example people attended work placements and college.

We looked at care planning and risk assessments and found that people's care was not planned and delivered in accordance with their assessed needs. Where people displayed a particular behaviour or found it difficult to communicate with people in an acceptable manner there were no interventions in place for staff to manage these situations. This meant that people would often be told behaviours were inappropriate rather than be taught how to manage those behaviours in a more acceptable way.

People were protected from the risks of abuse because the provider had taken proper steps. People had received training in protecting people from abuse, they demonstrated a good knowledge and understanding of abuse and knew what to do if they suspected a person was at risk or had been abused.

We looked at staffing levels in the home and found although the service was without a manager people were supported to carry on their role and they were suitably qualified and received detailed training relevant to the people they cared for.

The service carried out regular audits to ensure people were cared for appropriately and effectively. We found the audits were comprehensive and relevant to the service being provided.