Background to this inspection
Updated
8 May 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: The inspection was carried out by one inspector.
Service and service type:
Emscote House is a “care home”. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Emscote House provides short stay care and accommodation for up to eight people with learning
disabilities. On the day of our visit eight people were using the service and each had their own room within the home.
The service had a manager registered with the Care Quality Commission. Registered managers 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:
The inspection was unannounced.
The inspection took place on 11 April 2019.
What we did:
Before the inspection, we reviewed:
• The Provider information return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
• Notifications we had received. These are events within the service the provider is required to tell us about.
• The previous inspection report.
During the inspection we:
• Reviewed 4 people’s care records.
• Reviewed records of accidents, incidents.
• Discussed the complaints process and complaints received within the past 12 months.
• Reviewed audits and quality assurance reports
• Observed the care of people where possible.
• Observed staff interaction with people.
• Spoke with staff about their training, support and people’s needs.
• Reviewed people’s medicines.
We spoke with:
• 4 people
• 3 Staff members
• The deputy manager
• The registered manager
• The training and development manager
Following the inspection, we:
• Contacted two professionals but did not receive feedback during the inspection period.
• Received three comment cards we left for family to complete.
Updated
8 May 2019
About the service
Emscote House provides care and accommodation for up to eight people with learning
Disabilities and / or physical health needs, on a short stay basis. On the day of our visit there were eight people staying at the service and each had their own room.
People’s experience of using the service
People using the service benefitted from caring, dedicated staff. Not all people living at Emscote House were able to verbally express their views to us but we observed they looked comfortable and at ease with staff. Their nonverbal language, facial expressions and laughter indicated they were happy.
People and their families were placed at the heart of the service and involved in decisions as far as possible. In relation to Registering the Right Support we found this service was doing all the right things, ensuring choice where possible and maximum control. Registering the Right Support (RRS) sets out CQC’s policy registration, variations to registration and inspecting services supporting people with a learning disability and/or autism. These values include choice, promotion of independence and inclusion. The goal is to enable people with learning disabilities and autism using the service can live as ordinary a life as any citizen.
People’s care was provided safely. The staff team were consistent, staff knew people well and supported them to move safely around the service if needed, and when they were out of the home.
People’s medicines were well managed.
People’s risks were known and managed well, promoting independence as far as possible. Positive behavioural support plans were in place where required for staff to follow to support people’s care.
People were protected from discrimination because staff knew how to safeguard people. Staff knowledge of people meant they were alert to signs of change which may indicate someone was not happy.
People lived in a service which had a positive culture and was led by a committed registered manager and staff team.
Emscote House had worked hard to develop good relationships with local professionals supporting people’s care for example the local authority, commissioners and learning disability service.
Rating at last inspection:
At the last inspection the service was rated as Good (The last report was published 3 October 2016).
Why we inspected:
This was a planned inspection based on the rating at the last inspection. The service remained Good.
Follow up:
We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. Further inspections will be planned based on the rating. If we receive any concerns we may bring our inspection forward.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk