Archived: Care Management Group - 23 Perryn Road

Care Management Group - 23 Perryn Road is a residential care home providing care and support for up to eight people who have a learning disability and may also have other health conditions, autism, mental health needs or physical disabilities. At the time of our inspection seven people were living at the service.

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 received planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The service was a large home, bigger than most domestic style properties. It was registered to support up to eight people. This is larger than current best practice guidance. However, the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

People's experience of using this service

People told us they liked living at the home. Many people had lived at the home for many years and there was a calm atmosphere and staff were knowledgeable and skilled in supporting people. On the day of our inspection we found the home to be unclean in places, but when we raised this with the registered manager they took appropriate action both during and after the inspection.

Staff knew about people's life histories and their personal circumstances. Staff had been recruited safely. Systems were in place to safeguard people from abuse. When risks were identified the home had clear systems to manage the potential risk. Accidents and incidents were used as opportunities to learn and improve the service.

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.

People were assessed prior to coming to the home and people were encouraged to come and see the home before they moved in and meet the people who lived there. People told us they liked the food. People had access to healthcare services and input from specialist professionals when required. Peoples needs in relation to their personal care, nutrition and medicines were met.

People's privacy, dignity and independence was respected and maintained by staff. People were encouraged to express their views. There were daily activities for people to attend and these activities were chosen by the people who lived in the home. 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.

People’s care was planned in a personalised way. Care plans were reviewed regularly in line with the provider’s policy. There had been no complaints since the last inspection. People’s end of life wishes were recorded. There were systems in place to monitor the quality and safety of the home and the registered manager was aware of their regulatory responsibilities.

The home was well managed, and the registered manager understood their duties and responsibilities. The provider had oversight of the service and had implemented a variety of audits to monitor the service. Staff received regular support supervision and appraisals in line with the provider’s policies. The registered manager attended conferences and events to ensure they had the appropriate skills and knowledge to do their job effectively.

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

Rating at last inspection:

The service was rated good at our last inspection (published 03 August 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 reinspection programme. If we receive any concerning information we may inspect sooner.

At the last inspection on 2 March 2015 we rated the service Good and found the service was meeting all the required Regulations. Although we found that improvements were needed because the staff did not ensure there were sufficient quantities of nutritious food available at all times.

At this inspection on the 24 July 2017 we found the service remained Good.

People living at the service were happy there. Their needs were being met and they liked the staff. People felt comfortable, relaxed and could spend time how they wanted. People were involved in the day to day running of the home, helping to plan activities and menus and were involved in everyday tasks. People had opportunities to use the community and take part in a range of different activities.

Relatives and other representatives spoke positively about the service. They told us, and the provider's own record of their feedback confirmed, that they felt people were well cared for and their needs were met. They had regular contact with the service and felt appropriately involved.

Support plans were well designed and included information about how the staff should meet people's needs. Risks had been assessed and planned for.

People received their medicines in a safe way and as prescribed. There were procedures designed to safeguard people from abuse and the staff were aware of these.

There were enough staff employed to meet people's needs and keep them safe. The staff were recruited in a suitable way and received the supervision, support and training they needed to carry out their roles.

The staff were kind, caring and had good relationships with the people who they were caring for.

The service was appropriately managed. The registered manager was experienced, qualified and had worked at the service for many years. People using the service, their representatives and the staff found the registered manager approachable and supportive.

There were systems for capturing the views of all stakeholders and evidence that these were listened to and acted upon. There were a number of audits which monitored the quality of the service and ensured continuous improvements.

We looked at people's care records and found that they were involved in their care. For example people had regular reviews, were supported in community involvement and were supported to maintain and develop family relationships.

We looked at people's care assessments and risk management plans and found arrangements were suitable to ensure their safety and well-being.

We found that systems in place to safeguard people in the service were adequate. However, further improvement was needed to inform people using the service about abuse.

We looked at staff training and supervision and found people were supported by staff who had been adequately trained. They also received appropriate supervision and support with their career development.

The provider had suitable arrangements in place to monitor the quality of the service provided