7 Horse Leaze

Updated 31 May 2023

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 Health and Social Care Act 2008.

As part of this inspection, we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection team consisted of 1 inspector.

Service and service type

7 Horse Leaze is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. [Care home name] is a care home [with/without] nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 2 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

We reviewed information we had about the service since they became operational. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 1 person who used the service and 1 relative. We spoke with 4 staff including the registered manager, deputy manager, a team leader, and a care staff. We looked at a range of management records including, medicines, quality audits and building safety certificates. We reviewed a person’s care record including risk assessments and 2 staff recruitment records. After the site visit, we continued to liaise with the service. The registered manager sent us documentation we asked for and clarified any queries we had.

Updated 31 May 2023

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.

About the service

7 Horse Leaze is a care home providing residential care to 1 person at the time of the inspection. The service can support up to 6 people.

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.'

Right Support:

The model of care and the setting maximised people’s choice and control. People had their own bedroom and shared the facilities. People were protected from the risks associated with the spread of infection and were supported to take their medicines safely. People were encouraged to make choices and decisions in accordance with their level of understanding.

Care planning involved the person and their relatives as appropriate. People’s risks were assessed in a person-centred way. Care plans and risk assessments were reviewed on a regular basis. People who may become anxious or distressed had positive behaviour support plans in place to reduce the need for restrictive practices.

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 Care:

Care was person-centred and promoted human rights. The service worked closely with the British Institute for Learning Disabilities (BILD) who champion the human rights of people with disabilities, to promote the human rights of people using the service. People were protected from abuse and poor care. A relative confirmed they were included in decision making about their relative’s care. People were supported to achieve their goals and aspirations by a staff team who knew them well.

People had their communication and cultural needs met. Staff engaged a person using the service in culturally appropriate activities in accordance with their individual care plan. People were supported to maintain links with their family.

Right Culture:

The management team had an open door policy and a relative and staff spoke positively about the management of the service. A relative and staff confirmed they would be able to raise concerns to enable improvements to be made to the service.

The provider ensured staff had training in learning disability and autism so they could support people in a person-centred way. Staff received training in other core care subjects. Governance systems ensured people were kept safe and received care in line with their personal needs and preferences. The service worked jointly with other professionals to improve outcomes for people. The provider promoted a positive culture that was inclusive, open, and empowering for people using the service, relatives and staff.

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

Rating at last inspection

The service was registered with us on 14 January 2021, and this is the first inspection.

Why we inspected

We undertook this inspection because they had not been previously inspected.

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.