Background to this inspection
Updated
25 December 2018
The inspection: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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.
Inspection team: One inspector carried out this inspection.
Service and service type: The service is a ‘care home’. People in care homes receive accommodation and personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at on this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection: We gave the service 48 hours’ notice of the inspection visit because it is small and we needed to be sure that people would be in.
What we did:
We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about, such as abuse; and we sought feedback from the local authority and professionals who work with the service. We assessed the information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
We spoke with five people who used the service and one relative over the telephone to ask about their experience of the care provided. We spoke with six members of staff including the registered manager, deputy manager and two care workers, area manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records. This included two people’s care records. We looked at multiple records relating to the management of the service and a variety of policies and procedures developed and implemented by the provider.
Updated
25 December 2018
Rating at last inspection: Good (published 21 April 2016).
About the service: The service is a care home for up to five people some of whom have a sensory impairment and/or a learning disability and/or autism. Five people lived in the service when we inspected.
Why we inspected: This inspection was a scheduled inspection based on the previous rating.
People’s experience of using this service:
People told us they were happy and felt staff had an excellent understanding of their needs and preferences. That staff listened to what they wanted and acted quickly to support them to achieve their goals and aspirations. Staff were innovative and looked to offer people solutions to aid their independence and develop their skills. Use of technology had supported people to receive information in an accessible way either through easy read, large print or audio to enable them to be fully involved in their care and support.
People had good community networks which were personal to them. This included supporting people to use technology to connect with family and friends. People had been supported to develop and maintain positive relationships with friends and family.
Staff were well trained and skilled. They worked with people to overcome challenges and promote their independence. The emphasis of support was towards enabling people. Staff encouraged positive risk taking so people could experience new things and develop. This had led to people feeling fulfilled and living an active life.
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.
The registered manager and staff team worked together in a positive way to support people to achieve their own goals and to be safe. Checks of safety and quality were made to ensure people were protected. Work to continuously improve was noted and the registered manager was keen to make changes that would impact positively on people’s lives.
The values of the organisation of offering choice, inclusion and respect were embedded. This supported people to receive the positive service described.
The service met the values that underpin the ‘Registering the Right Support’ and other best practice guidance such as ‘Building the Right Support’. These values include choice, promotion of independence and inclusion. Also, how people with learning disabilities and autism using the service can live as ordinary a life as any citizen.
A full description of our findings can be found in the sections below.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.