14 March 2019
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: This inspection was carried out by one inspector.
Service and service type:
Clubworthy House 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 accommodates up to two people. At the time of our visit there were two people using the service.
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 announced. We gave the service 48 hours’ notice of the inspection visit because the location was a small care home for younger adults who are often out during the day. We needed to be sure that they would be in.
We visited the service on the 11 December 2018 and looked at records, spoke with people and staff and completed a tour of the premises. Following the visit, we spoke with four relatives over the telephone. We also received feedback from three health and social care professionals to gain their views on the service.
What we did:
Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. The provider returned the PIR and we took this into account when we made judgements in this report. We reviewed other information that we held about the service such as notifications. These are events that happen in the service that the provider is required to tell us about. We also considered the last inspection report and information that had been sent to us by other agencies. We also contacted commissioners who had a contract with the service.
During the inspection, we spoke with two people who used the service. We also had discussions with two staff members and the registered manager and registered provider.
We looked at the care and medication records of two people who used the service, we undertook a tour of the premises and observed information on display around the service such as information about safeguarding and how to make a complaint. We also examined records in relation to the management of the service such as staff recruitment files, quality assurance checks, staff training and supervision records, safe guarding information and accidents and incident information
14 March 2019
About the service:
Clubworthy House provides accommodation with personal care for up to two people. There were two people using the service at the time of our inspection. The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen. ' Registering the Right Support' CQC policy.
What life is like for people using this service:
People were protected by a strong, comprehensive safety system, with a focus on openness, transparency and learning. The provider had systems in place to make sure the service was safe, with very good staffing levels and well skilled staff to deliver care. The service ensured that risks to people were fully assessed and well managed. People were empowered to take positive risks, to ensure they had as much choice and control of their lives as possible. The positive risk-taking approach demonstrated by the service showed they respected people's right for independence, their right to self -determination and their right to take risks.
The staff at Clubworthy House were highly committed to ensuring people lived fulfilling lives and were protected from social isolation. The whole focus of people's care was individualised and focused on promoting people's independence as well as their physical and mental well-being. People were empowered to make their own choices and staff were highly motivated with a 'can do' approach which meant they were able to achieve very positive outcomes for people.
People were involved and supported to safely recruit staff to work at the service. Staff were appropriately trained in all areas of people’s care. Robust arrangements were in place for the service to make sure that action was taken and lessons learned when things went wrong, to improve safety across the service.
Staff were caring and had built open and honest relationships with people. They were knowledgeable about how best to communicate with people and to advocate for them and ensure their views were heard. People, relatives and health and social care professionals all spoke of the commitment of staff, the family atmosphere at the service and the genuine interest staff took in their wellbeing. There was a strong culture within the service of treating people with dignity and respect and staff spent time getting to know people and their specific needs before they provided them with care and support.
There was strong leadership that put people first and set high expectations for staff. There was an open culture and a clear vision and values, which were put into practice. Staff were proud to work for the service and felt valued for their work. A positive culture was demonstrated by the attitudes of staff and management when we talked with them about how they supported people.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection: Good (report published 20/08/2016)
Why we inspected:
This was a planned inspection based on the rating at the last inspection. At our last inspection we rated the service Good. At this inspection we found the service had improved to outstanding under the caring and responsive domains. The overall rating for this service is Outstanding.
We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.