• Care Home
  • Care home

58 Crantock Drive

Overall: Good read more about inspection ratings

Almondsbury, Bristol, BS32 4HG (01454) 614941

Provided and run by:
Milestones Trust

Latest inspection summary

On this page

Background to this inspection

Updated 2 March 2022

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control (IPC) practice is safe and that services are compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 15th February 2022 and was announced. We gave the service 24 hours’ notice of the inspection.

Overall inspection

Good

Updated 2 March 2022

About the service

58 Crantock Drive is a ‘care home’ providing support for up to eight people who have learning disabilities, autistic spectrum conditions or additional needs. Eight people were living there at the time of the inspection.

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.

The service was had been extended and was larger than most domestic style properties in the area. However, the building design fitted into the residential area and the service was an accepted part of the community. There were deliberately no identifying signs, intercom anything else outside to indicate the building was a care home.

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

People and their relatives told us they were happy with the care and service received. Staff were kind and caring towards people, and people appeared relaxed and comfortable in their presence.

People were supported by enough staff and vacancies were being recruited to. Any gaps in shifts were covered by regular bank staff or agency workers who knew the people they were supporting.

People were protected from the risk of harm or abuse. Staff knew how to keep people safe, and guidance was available if staff needed to report concerns. Risk assessments reflected people’s needs and ensured staff provided safe care for people. Risks relating to the environment and equipment were regularly assessed to ensure these were managed.

People received their medicines safely and as prescribed. Staff received training to ensure they were competent in administering and managing medicines. Some checks required more consistent completion, although any risk to people was low.

Staff supported people to eat and drink enough to maintain a balanced diet which met their needs and preferences. People had access to routine and specialist healthcare services. Staff worked with other professionals to ensure people received effective care which met their needs.

Care records were person-centred and gave information about what was important and how people wished to be supported. People’s capacity was considered and documented on each care plan and assessed for particular decisions. 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.

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.

Staff knew people well and information about their preferences and interests was recorded. People were able to access a wide range of opportunities and activities which were meaningful to them. Staff supported people to maintain relationships with friends and family.

A clear leadership structure was in place, and the service was well led by knowledgeable and respected managers. Staff felt supported by the management team and there was a commitment to the service from the staff we met. Systems were in place to monitor and review quality and performance, and actions were taken when shortfalls were identified. Feedback was regularly requested, and actions taken when lessons could be learned, or improvements made.

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 07 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.