Updated 23 May 2019
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was carried out by one adult social care inspector.
Service and service type:
Cream IV Limited 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.
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.
Notice of inspection:
We gave the service two days’ notice of the inspection site visit. This was because the home only supports one person and we needed to sure staff would be available. As the person has complex needs we needed the provider to help us to arrange a site visit which did not cause the person unnecessary anxiety.
What we did:
• We asked the provider to complete a Provider Information Return (PIR.) This is key information providers are required to send about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
• We looked at notifications received from the service. A notification is the means by which providers tell us important information that affects the running of the service and the care people receive.
During the inspection we spoke with;
• The person who lived at the home.
• Three members of staff.
• The registered manager.
• We were able to observe interactions between staff and the person.
We looked at a selection of records which included;
• One care and support plan.
• Records of staff training.
• Records of meetings
• One person’s medication administration record.