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Inspection Summary


Overall summary & rating

Good

Updated 4 January 2019

This inspection took place on 30 November 2018 and was unannounced. The service had previously been inspected in 2016 and had been rated as good. At this inspection we found the service remained good and the service met all relevant fundamental standards.

Cleveland Road 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.

Cleveland Road provides accommodation and support to people with learning disability. Cleveland Road was registered with the Care Quality Commission in November 2010 and is registered to provide accommodation for up to 13 people. There were 11 people living there at the time of the 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 and were embedded within this service which worked to ensure people could live as ordinary a life as any citizen

There was a manager in place who had been registered with CQC since August 2016. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.’

Staffing levels were based on the needs of people at the home and were reviewed daily. Staff had been trained and were confident to recognise safeguarding issues which meant people were protected from harm.

Risks were assessed and well managed to ensure people's freedoms were not overly restricted and risk assessments were based on positive outcomes for people.

Staff received ongoing support from the management team through a programme of regular supervisions and appraisals and they had been trained to ensure they had the knowledge and skills to care for people

People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice

We found decision specific capacity assessments had been carried out for people who lacked mental capacity to consent to aspects of their care delivery. These were compliant with the Mental Capacity Act 2005 (MCA). Staff understood the principles of the MCA and how to ensure people's human rights were respected when making decisions on their behalf.

We found all the staff to be caring in their approach to the people who lived there and treated people with dignity and respect. Staff knew the people they supported very well, and we observed people were very happy in the presence of staff and there was a very positive and friendly atmosphere.

There was clear evidence of person-centred care and records contained information detailing people's life histories, preferences and choices to enable staff to support them. People were involved in activities based upon their established routines and preferences. Information was provided in an easy read format to ensure people with different abilities were provided with information in a format they could understand.

Systems and processes for ensuring the quality of the service included nationally recognised evidence-based standards to ensure they provided a quality service to people living there. The service was well-led by a registered manager who aspired to develop the service continuously and who kept abreast of best practice and developments in this field.

Inspection areas

Safe

Good

Updated 4 January 2019

The service remains Good

Effective

Good

Updated 4 January 2019

The service remains Good

Caring

Good

Updated 4 January 2019

The service remains Good

Responsive

Good

Updated 4 January 2019

The service remains Good

Well-led

Good

Updated 4 January 2019

The service remains Good