You are here

Care Management Group - Smitham Downs Road Good

Inspection Summary

Overall summary & rating


Updated 17 April 2019

About the service: Care Management Group - Smitham Downs Road provides personal care and support for up to nine adults with learning disabilities or autism. Since our last inspection, everyone who previously lived in the home had moved to another service owned by the provider. At the time of this inspection six people were using the service.

People’s experience of using this service: At this inspection we found the evidence continued to support the overall rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns.

Smitham Downs Road had undergone complete refurbishment and redecoration since we last inspected. The provider had managed this in such a way to accommodate the needs of new people moving to the service. This included making sure people’s bedrooms were furnished according to their needs and choices before they moved in.

People needs were fully assessed before moving to the home so the provider knew whether they could meet the person's needs. Risks to people’s health and wellbeing were understood and staff had the information they needed to support people and keep them safe. Care plans were personalised to reflect individual needs and preferences. People’s needs were regularly monitored and reviewed and staff responded appropriately to changes in people's needs or circumstances.

People were protected from abuse and discrimination. Staff were trained to recognise signs of potential abuse and how to manage and report any situations in which people may be at risk. The provider followed safe recruitment practice to make sure staff were suitable to work in a care setting.

There were enough staff with the right skills and knowledge to meet people’s needs. Staff training included supporting people who presented behaviours that could result in harming themselves or others. Staff also learnt how to communicate effectively with people in their preferred ways, for example, where people did not use verbal communication.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staff treated people with dignity and respect. People decided how they spent their time and staff respected their choices and independence. Information was made available in accessible formats to help people who needed support with communication. People took part in activities they liked or had an interest in and staff supported people to try new ones.

People received the care and treatment they needed to maintain their health and wellbeing. They had access to appropriate health, social and medical support when it was needed. Medicines were managed safely and people received their medicines as prescribed.

People maintained relationships with those that mattered to them. People and their relatives had opportunities to share their views and the provider listened to their feedback. Relatives knew how to raise concerns and told us they would be confident to do so. Arrangements were in place to monitor, investigate and respond to complaints.

There was an inclusive culture at the service where staff felt listened to and supported. The new manager showed effective leadership and knew what was working well and what needed improving in the home. Staff and relatives told us the manager had made positive changes since joining.

The provider had good oversight of the service and used effective systems to monitor quality and safety, keep checks on standards and develop the service. Where improvements were needed or lessons learnt, action was taken to make the necessary changes.

At the time of the provider’s registration, the care service had not been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as

Inspection areas



Updated 17 April 2019

The service remained safe

Details are in our Safe findings below.



Updated 17 April 2019

The service remained effective

Details are in our Effective findings below.



Updated 17 April 2019

The service remained caring

Details are in our Caring findings below.



Updated 17 April 2019

The service remained responsive

Details are in our Responsive findings below.



Updated 17 April 2019

The service remained well-led

Details are in our Well-Led findings below.