We carried out a review of the data available to us about Coleshill Road on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Coleshill Road, you can give feedback on this service.
Coleshill Road is a residential care home providing personal care to up to four people. The service provides support to people with a learning disability. At the time of our inspection there were two people using the service.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
Right support
The model of care supported people to live as independently as possible with the right support. Staff focussed on people’s strengths which promoted independence and allowed people to set their own goals and follow activities and interests as they wanted to.
Staff understood how to keep people safe. Risk relating to people was well managed with person centred support. Medicines were administered safely in line with guidance and good practice. The home had enough staff with the right skills to support people. Staff wore personal protective equipment in line with government guidance.
Right Care
People received care, which was kind, compassionate and personalised to their needs. Staff were skilled and understood what they needed to do to keep people safe.
The registered manager and staff had good knowledge and understanding of the people they worked with to ensure care was safe and delivered in an inclusive and supportive environment.
Right culture
People received care which was inclusive and directed by them. Staff knew and understood people well and put their needs at the heart of the support they provided. Staff ensured people were involved in their care plans and that they promoted people’s right to independence and choice.
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 policies and procedures in place for the registered manager to use to continually review, monitor and make improvements to the home.
For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection and update
At our last inspection we found a breach of regulation 12 in relation to the way people’s individual risks were managed. The provider completed an action plan after the last inspection to tell us what they would do and by when to improve.
At this inspection we found improvements had been made and the provider was now meeting this regulation.
Why we inspected
This inspection was prompted by a review of the information we held about this service. 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.
Coleshill Road is a residential care home that provides care for 4 people who have a primary diagnosis of a learning disability or autism spectrum conditions and require specialist care and support. There were 3 people living at the service at the time of our visit.
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 and what we found
The registered manager was on a period of pre- arranged extended leave. A new manager had been in post for around three weeks to provide management support whilst the registered manager was on leave. Positive feedback was received in relation to the manager, however there had been a number of management changes recently and staff felt this had impacted on the leadership of the service. Quality checks were carried out to monitor the service.
There were enough staff to ensure people were safe. However, at times staff did not provide care as documented in people’s care records and some systems required reviewing to ensure people and staff remained safe. There were some staff vacancies.
Where risks associated with people's health and wellbeing had been identified, there were plans to manage those risks while ensuring people could remain independent.
People received care which was responsive to their individual needs. Staff were matched with people and had a good understanding of how to support them well.
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 to gain new skills and become more independent.
Care records provided information in relation to people’s backgrounds, interests and care needs and this information was in the process of being updated by the manager.
Staff understood their responsibility to safeguard people from harm and knew how to report concerns. Following a recent incident, the provider had taken further steps to ensure staff were trained more comprehensively and aware of action to take in the event of any concerns being identified.
The provider ensured care was based upon good practice guidance to help ensure people received an effective service.
People were supported to maintain relationships with people important to them. Staff were caring in their approach and had good relationship with people.
Promoting independence was a part of the ethos of the service and people were supported to improve their life skills.
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.
Staff encouraged people to maintain a balanced diet and respected their individual choices. The provider and staff team worked closely with external healthcare professionals to ensure people's health and wellbeing was promoted and maintained.
People, relatives and staff had some opportunities to feedback about the running of the service however this was being further developed by the manager.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 26 October 2018 and this is the first inspection.
Why we inspected
The inspection was prompted in part due to concerns received about staff practices when supporting people. A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm from this concern.
Enforcement
We have identified one breach in relation to Regulation 12, Safe Care and Treatment. Risks to people’s care were not always managed safely.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.