No 11&12 Third Row

Updated 4 January 2024

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.

Inspection team

The inspection was carried out by one inspector.

Service and service type

11& 12 Third Row 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. 11 & 12 Third Row 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

We gave the service short 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 at the home to support the inspection.

What we did before the inspection

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 contacted the local authority for any information or concerns they had about the service. We used all this information to plan our inspection.

During the inspection

During the inspection we spoke with 2 staff members including the registered manager and 1 care worker. After visiting the home we spoke with a further care worker on the telephone. We also spoke on the telephone with 2 relatives about the care their relations received and 1 care manager.

Updated 4 January 2024

About the service

11& 12 Third Row is a residential care home providing accommodation for persons who require nursing or personal care, up to a maximum of 4 people. The service provides support to people with a learning disability or autism. The service consists of two terraced properties that have been converted into a single building. People living at the home have their own rooms and share a range of facilities, such as bathing and toilet facilities and kitchen and lounge areas, in a ‘family style’ setting. At the time of our inspection there were 3 people using the service.

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

This was a focussed inspection where we only looked at the safe and well-led domains. Based on our inspection of these areas we found people were well supported in their daily lives.

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.

Right Support: People were supported to have choice about their daily lives. Not everyone being cared for was able to express their needs verbally. The staff and the registered manager had a good understanding of people's responses and non-verbal communication. Staff had worked with the individuals for a considerable time and knew them extremely well, including their likes and dislikes and personal preferences. People were able to access the community, if they wished and were supported to maintain good contact with their families.

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 staff supported people to achieve their ambitions and live their best life possible. Staff spoke affectionately and with understanding about the people they cared for. Relatives compared the home to a family environment. People were treated with dignity and respect and staff had an in depth understanding of the person and the support they needed.

Right Culture: The manager spoke passionately about caring for the people at the home and the desire to ensure they were safe and well cared for. Staff spoke about working at each person’s own pace and ensuring the service worked for them. One staff member told us, “The lads (people) are a pleasure to work with. Half the time it doesn’t feel like work but like you are visiting them in their own home.”

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 23 August 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service and due to the length of time since the previous inspection.

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.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this full report. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for 11 & 12 Third Row on our website at www.cqc.org.uk.

Enforcement and recommendations

Since the last inspection we recognised that the provider had failed to notify CQC of events they are legally required to do so. This was a breach of regulation 18 of the Care Quality Commission (Registration) Regulations 2009. Full information about CQC’s regulatory response to this is added to reports after any representations and appeals have been concluded.

We have made a recommendation for the provider to review staffing levels at weekends to support people accessing the community.

Follow up

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