Background to this inspection
Updated
6 December 2019
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:
This inspection was carried out by one inspector.
Service and service type:
104 Church Road 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.
The service had a manager who was registered with the Care Quality Commission. This means they 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:
This inspection was unannounced.
What we did:
We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
We spoke with two people who used the service about their experience of the care provided. We also spoke with four members of staff including the registered manager, the home manager and two support workers.
We reviewed a range of records. This included two people’s care records, one person’s medication records and a variety of records relating to the management of the service.
Updated
6 December 2019
About the service
104 Church Road is a residential care home providing care and support to two people in a semi-detached home in a residential area of Wirral.
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 told us that they were happy with the support they received at 104 Church Road. There was a relaxed and homely atmosphere within the home and it was clear that people felt comfortable and took control within their environment. People had warm and friendly relationships with the staff that supported them.
People had autonomy and acted with confidence within the home. Staff encouraged people taking control and promoted this by respecting people’s routines and preferences. They asked people for their permission and checked their opinions before doing things within the home. People were supported to have maximum choice and control of their lives and staff supported support 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 focused on supporting people to do what they can for themselves; they knew the areas in which people needed and had consented to support and the areas of people’s lives in which the person was independent and private.
Each person had a personalised support plan that was meaningful to them and offered guidance for staff on how to best meet their needs. People were supported to be involved in their local community and in the day to day running of the home. People had been supported to learn new skills and try new things.
Care and attention had been put into making sure the home had a nice environment and a homely feel. The home was safe, the environment was clean, and people’s medication was administered safely. The home manager and registered manager used a series of audits and checks to ensure people received support that met their needs and was of high quality. These checks had led to action being taken by the provider to make improvements.
Staff told us that they had received “amazing” training and support that enabled them to be effective in supporting people.
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 11 April 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.