Matthew Residential Care Limited - 59 Woodgrange Avenue

Updated 4 November 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 was carried out by 1 inspector.

Service and service type

Matthew Residential Care - 59 Woodgrange Avenue 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. 59 Woodgrange Avenue is a care home 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

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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 about their experience of the care provided. We spoke with 4 members of staff including the nominated individual, the quality assurance manager and 2 care staff.

We reviewed a range of records. This included 2 people’s care records and medication records. We looked at a variety of records relating to the management of the service including quality assurance audits and policies and procedures.

Updated 4 November 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

Matthew Residential Care Limited - 59 Woodgrange Avenue is a residential care home providing personal care and accommodation to 2 people at the time of the inspection. The service can support up to 3 people.

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

During our last inspection we found the service was meeting the underpinning principles of Right support, right care and right culture (RCRSRC). However, we were not fully assured that the changes the service had made were fully embedded and quality standards would be maintained. At this inspection we found the provider had maintained the required standards.

Right Support: People were involved in the planning of their care and told us that they received support which met their individual needs and preferences. People who used the service were supported in the least restrictive way and staff demonstrated understanding of people’s needs. People were supported to live the life they wanted by staff who knew them well and put them at the centre of decision making. Staff enabled people to access specialist health and social care support in the community. People had a choice about their living environment.

Right Care: Staff understood how ensure people were protected from harm or abuse. Staff worked with people to identify and reduce the likelihood of risks to their wellbeing and activities. Staff understood people’s care and support needs.

Right Culture: People were involved in planning their care. Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing. Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity. 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.

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 (published 24 August 2022). We made a recommendation that the provider sought further guidance on managing behaviours that challenge the service and another on recording and acting on lessons learnt following incidents. At this inspection we found the provider had taken action and improvements had been made.

Why we inspected

This inspection was carried out following concerns we had received from a local authority in relation to service quality. At this inspection we found these concerns had been addressed.

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.

Recommendations

Follow up

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