Inshore Support Limited - 112 Wellington Road

Updated 18 January 2019

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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This unannounced inspection visit took place on 18 December 2018. The inspection team consisted of one inspector.

As part of the inspection, we reviewed the information we held about the service, including notifications. A notification is information about events that by law the registered persons should tell us about. We asked for feedback from the commissioners of people's care to find out their views on the quality of the service. We used information the provider sent us in the Provider Information Return (PIR). 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.

During the inspection, we spoke with two people who used the service as they had communication difficulties we used our observations to understand their experiences of the care they received. We also spoke with the registered manager, two staff and two visiting professionals.

We observed the delivery of care and support provided to people living at the service and their interactions with staff. We reviewed the care records of one person. We looked at other records relating to the management of the service including, accident reports, monthly audits, and medicine administration records.

Updated 18 January 2019

This inspection took place on 18 December 2018 and was unannounced. At the last inspection completed on 21 June 2016 we rated the service Good. At this inspection we found the service remains rated as Good.

Inshore Support Limited - 112 Wellington Road is a Residential 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.

Inshore Support Limited - 112 Wellington Road accommodates up to three people in one adapted building, where people had access to communal areas along with their own rooms. At the time of the inspection there were three people using the service.

Registering the Right Support has values which include choice, promotion of independence and inclusion. This is to ensure people with learning disabilities and autism using the service can live as ordinary a life as any citizen. The home was meeting the principles of this policy.

There was a registered manager in post at the time of our inspection. 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.

People were safeguarded from abuse and risks to their health and wellbeing were assessed and planned for to keep them safe. People were supported by sufficient staff and had their medicines administered as prescribed. People were protected from the risk of cross infection. The provider learned when things went wrong.

People had their needs assessed and plans were in place to meet those needs. Staff were trained and received support in their role. The environment had been adapted to meet people’s needs.

People received consistent support from staff; could choose their meals and were supported to eat and drink safely. People were supported to maintain their health and well-being.

People had choice and control of their lives and staff were aware of how to support them in the least restrictive way possible; the policies and systems in the service were supportive of this practice.

People were supported by staff that were caring; they were supported to make choices and maintain their independence. People were supported with their communication and had their privacy and dignity protected by staff.

People had their preferences understood by staff and they received person centred care and support to do things they enjoyed and meet their needs. There was a policy in place to respond to complaints about the service. Nobody was receiving end of life care so this was not considered.

Notifications were submitted as required and the registered manager understood their responsibilities. Quality audits were in place and were used to drive improvement.