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Inspection Summary


Overall summary & rating

Good

Updated 11 October 2019

About the service

County Road is a residential care home providing personal care to six people with learning disabilities at the time of the inspection. County Road accommodates up to seven people with learning disabilities in one purpose-adapted building. The service is located in Swindon and has easy access to the local town centre. People are accommodated on the three floors of the building.

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.

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

People, their relatives and professionals cooperating with the service consistently praised the quality of the personalised care and support provided to people living at County Road.

Risks to people were identified and managed safely by staff who understood their responsibilities to protect people from abuse and avoidable harm. A sufficient number of staff with the required skills and knowledge provided people with personalised care. Staff administered people's medicines safely. We found the environment of the care home was clean and had been well maintained. Accidents and incidents were reviewed by the registered manager to identify trends and to ensure necessary learning was shared with staff.

Staff were supported through training and meetings to maintain and when needed enhance their skills and knowledge to support people. People were supported to eat a varied diet which met their needs and preferences. People attended regular appointments and annual health reviews. Staff worked with other professionals for advice, guidance and support.

Staff supported people to make day to day decisions and be in control of how they spent their time. 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.

People received personalised care and support from caring staff who respected people's privacy and dignity and understood the importance of people’s independence. People were supported by staff to make decisions about their care and support. Staff used their knowledge of people's preferred ways of communicating to assist people to make their own choices.

People had opportunities to take part in a variety of activities. People were supported to maintain contact with their relatives. People, their relatives and staff were encouraged to make any suggestions for developing the care provided further.

The provider and the registered manager checked the quality of care provided through quality audits. The registered manager completed thorough investigations into any concerns and acted to improve the service.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection (and update)

The last rating for this service was ‘requires impr

Inspection areas

Safe

Good

Updated 11 October 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 11 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 11 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 11 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 11 October 2019

The service was well-led.

Details are in our well-Led findings below.