Background to this inspection
Updated
7 December 2019
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 Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Nonoy Capina 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.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with one person who used the service about their experience of the care provided. We spoke with two members of staff including the registered manager and a care worker. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records. This included three people’s care records and medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke to a care worker and a relative after the inspection to seek their feedback on the quality of the service.
Updated
7 December 2019
About the service
Nonoy Capina is a residential care home providing personal care to four people with a learning disability at the time of the inspection. The service can support up to five people.
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
People were supported by staff who knew how to keep them safe from the risk of harm. Staff knew their safeguarding responsibilities in reporting allegations of abuse. Staff were recruited to the service safely and there were enough staff to support people at the service and people were seen receiving support when they needed it.
Medicines were managed safely, and people received their medicines on time. The service was clean and free from malodour. Staff at the service followed good hygiene practices to help minimise the risk of infection spreading.
People’s needs were assessed when they joined the service. Staff were trained and supported on a regular basis to ensure people received effective care. Staff supported people to make their own decisions as much as possible.
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.
One member of staff was not sure what a deprivation of liberty safeguard (DoLS) was and whether anyone at the service had one. We have made a recommendation about staff understanding of DoLS.
Staff supported people to make their own decisions as much as possible.
People received care from staff who were kind and patient. Staff did not discriminate against people at the service. People’s privacy and dignity was respected.
People’s care was personalised and details on how to communicate with people was within their care plans. The service ensured people were able to spend time with people who were important to them and to attend activities they enjoyed.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
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 for them to gain new skills and become more independent.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 3 July 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.