4 October 2022
During a routine inspection
About the service
165 Point Clear is a residential care home providing personal care to four people at the time of the inspection. The service can support up to five men.
People’s experience of using this service and what we found
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.
Right Support:
People were not always supported in a safe, clean, and well-maintained environment. Areas of the home and equipment people used was not always clean enough, fit for purpose, or well maintained.
Staff knew how people preferred to take their medicines to achieve the best possible health outcome. Staff enabled people to access specialist health and social care support in the community.
Staff supported people to play an active role in maintaining their own health and wellbeing and encouraged people to eat a healthy diet.
Staff supported people to make decisions following best practice in decision-making. Staff communicated with people in ways that met their needs.
Right Care:
Potential risks to people’s safety were not always identified and acted on at the time to ensure people were kept safe. Not all staff used a face mask effectively to prevent potential germs being passed from person to person. Cleaning fluids were not being safety stored.
People received kind and compassionate care. One person’s relative told us their family member, “Is settled and likes the staff who are the kindest people ever.”
People could communicate with staff and understand information given to them because staff supported them consistently and were knowledgeable about their individual needs.
Right Culture:
The service’s quality assurance, monitoring and oversight arrangements were not robust and required improvement.
The service enabled people and those important to them to work with staff to develop the service. Staff valued and acted upon people’s views. People and those important to them, including advocates, were involved in planning their care.
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 23 July 2020 and this is the first inspection. The last rating for the service under the previous provider was good, published on 11 December 2018.
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.
Enforcement
We have identified breaches in relation to risk, infection control and the provider’s governance arrangements at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from 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 continue to monitor information we receive about the service, which will help inform when we next inspect.