Background to this inspection
Updated
17 February 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This comprehensive inspection took place on 30 November 2017 and was announced. We gave the service 48 hours’ notice of the inspection visit because the location was a small care home and people using the service and the registered providers are often out during the day. We needed to be sure that they would be in.
One inspector carried out the inspection of this service. We did not speak with the person living at the service because they were not at home. We spoke with the registered providers of the service. They managed the service and supported the person using the service each day.
We completed general observations of the person’s bedroom and the environment of the service. We reviewed one person’s care record, and other records regarding the maintenance and management of the service.
Updated
17 February 2018
Ms Maisie Melanie Bell & Mr Percival Fiztroy Drummond - 40 Lewisham is a residential care home for up to three people living with learning difficulties. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. At the time of the inspection there was one person using the service. The person had access to their own private bedroom for their sole use.
This service was not required to have a registered manager. This was because they were providing daily care and support to the person. There were no other employees at this service.
At the last inspection, the service was rated Good. At this inspection we found the service remained Good. We found that the service continued to meet all relevant fundamental standards.
Staff understood how to protect people from abuse and they described the actions they would take to report any allegations of abuse. Staff received training in safeguarding adults and understood types of abuse. Staff had access to support and training that increased their knowledge and supported them in their caring role. There was enough staff available to care for people safely.
Risks to people were identified. Clear guidance was developed for staff about how to manage known risks to keep them safe. The recorded accidents and incidents that occurred at the service. Lessons were learnt from these and the outcome used to improve the service.
At the time of the inspection the person was not supported with the administration of medicines. The registered provider had a process in place for the safe management of medicines if this was required.
The registered providers had developed working relationships with external health and social care services. This helped to ensure that appropriate care was arranged and delivered to people using the service.
The environment met the needs of people that lived at the service. The design and layout of the service met the needs of people.
Staff were caring at the service and knew how to protect people’s dignity and privacy in a compassionate way. Care records were produced in a format that people with a learning difficulty were able to understand.
Assessments were completed that took into account people’s views and opinions. Care records accurately reflected people’s care and support needs.
Staff knew the person they cared for well. Staff supported them with their daily tasks, including personal care and support with meals and their nutritional needs.
People are 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.
The registered provided support to ensure that the service was managed well. The registered provider completed internal audits of the quality of care provided to people. People were asked for their opinion and feedback about the service. The registered provider had developed partnership working with external health and social care agencies.