St Anne's Community Services - Boroughbridge Road

Updated 30 January 2024

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection team consisted of one adult social care senior specialist.

Service and service type

St Anne’s Community Services – Boroughbridge Road is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. St Anne’s Community Services – Boroughbridge Road is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We used the Short Observational Framework for our Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We spoke with 1 person who used the service, 1 relative and a professional who works with the service. We spoke with 5 staff members including the registered manager, quality, and continuous improvement lead and 3 support workers. We looked at elements of 2 people’s care and medicine records and a range of records relating to the management of the service.

Updated 30 January 2024

About the service

St Anne’s Community Services – Boroughbridge Road is a residential care home providing personal care to up to three people with a Learning Disability. The service operates from an adapted building in a residential area of Knaresborough. At the time of our inspection there were three people using the service.

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

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it

Right Support: People were appropriately supported and the model of care promoted people’s choice, control and independence. People were fully involved in planning their day-to-day routines and received support from a consistent staff team. There were enough staff to ensure people received appropriate support. The premises was appropriately adapted to ensure people’s needs were met.

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.

Right Care: Care was person-centred and promotes people’s dignity, privacy and human rights. People were kept safe whilst there was a philosophy of positive risk taking to ensure people were not restricted from day-to-day activities. Medicines were managed safely.

Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives. People and staff spoke positively about the management team and we found a positive person-centred culture within the service. A range of audits and checks took place to provide assurance the service was operating appropriately.

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 (September 2018).

Why we inspected

This inspection was undertaken due to the age of the previous rating. We undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.