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Inspection Summary


Overall summary & rating

Requires improvement

Updated 25 August 2021

About the service

Imola is a care home that provides care and support for up to eight people who have a learning disability or who are autistic and have complex support needs. At the time of the inspection there were eight people living at Imola.

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

We observed people engaging positively with staff who were committed to promoting their wellbeing. We received largely positive feedback from relatives, who spoke warmly of the support their family members received, particularly from established staff who knew people well.

There had been changes at Imola since our last inspection. There was a new registered manager, deputy and new care staff. The provider had systems in place to check the quality of care and of the accommodation, however these were not always effective. We had concerns around how well some risks were managed across the service, including poor infection control. The provider had also not submitted the notifications and safeguarding alerts to CQC and the local authority, as required.

There were not always enough experienced and skilled staff on each shift. Some families and staff told us this affected the quality of care people received. Prior to our inspection the provider had already started to take action to address staffing retention and practice.

The provider was open to our feedback and demonstrated a commitment to improving care and safety at Imola. They had set up workshops to promote people’s quality of life, which were positive and reflected a commitment to promoting person-centred care. Despite some concerns around infection control, the provider and staff had worked hard to promote people’s wellbeing during the COVID-19 pandemic. The provider engaged well with external professionals to make decisions in people’s best interests.

Staff knew what to do when they had concerns about people’s safety. The provider carried out investigations into safety concerns and incidents, making changes to people’s care as required. Individual risk assessments were personalised and provided practical guidance to staff.

People received support to take their medicines safely, and to reduce unnecessary use of medicines.

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.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

This service was able to demonstrate how they were working towards meeting the underpinning principles of Right support, right care, right culture.

Right support:

The model of care and setting maximises people’s choice, control and Independence. There is a demand for the type of service Imola provides as it enables people to move out of more restrictive accommodation, such as long-stay hospitals. The provider is working to ensure the property does not feel institutional and meets people’s sensory needs and preferences.

Right care:

Care is person-centred and promotes people’s dignity, privacy and human rights. People are treated as individuals and care is provided flexibly in line with their preferences. The provider works in line with guidance around Positive Behaviour Support to provide care which minimises restrictions to people’s freedom.

Right culture:

Staff and management seek to promote a positive ethos, values, attitudes and behaviours which enable people using services to lead confident, inclusive and empowered lives. High staff turnover has meant it has been challenging to e

Inspection areas

Safe

Requires improvement

Updated 25 August 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 25 August 2021

Caring

Good

Updated 25 August 2021

Responsive

Good

Updated 25 August 2021

Well-led

Requires improvement

Updated 25 August 2021

The service was not always well-led.

Details are in our well-led findings below.