8 April 2020
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 Care Act 2014.
The inspection was carried out by one inspector.
Service and service type
103 Heath Street is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during 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
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection, which included notifications about events that had happened at the service. We sought feedback from the local authority who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
People who used the service were unable to tell us about their experience. We used the Short Observational Framework for 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 three members of staff including the registered manager and care workers. We reviewed a range of records. This included three people’s medication and care records. We looked at a variety of records relating to the management and monitoring of the service.
After the inspection
We received feedback from five professionals who regularly visited the service to gain their experiences. We spoke with four relatives about their experience of the care provided.
8 April 2020
About the service
103 Heath Street is a residential care home providing personal care to five people who had a learning and/or physical disability at the time of the inspection. The service can support up to six people in one adapted building.
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 receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
People living at 103 Heath Street experienced an excellent level of care and support which promoted positive outcomes for people. There was a strong focus of person-centred care within the service, which staff followed in practice to ensure people led a full and varied life.
People received exceptional care at the end of their life that met their wishes. Staff ensured people received caring support and attention in the final days of their life.
People and relatives were consistently involved in all aspects of their care to ensure support reflected their preferences. The positive outcomes for people using the service were reflected in the principles and values of Registering the Right Support, by promoting choice and control, independence and inclusion.
The registered manager had forged excellent working relationships with other professionals to ensure people received the best possible care in line with their individual needs and preferences. Continuous learning and improvement strategies were used to continually seek ways to improve the level of support people received.
People were supported by safely recruited staff, who had the skills and knowledge to provide effective support. Staffing levels were regularly reviewed to ensure there were enough staff available to meet people's needs. People's medicines were managed, and staff followed infection control procedures.
People were cared for by caring and attentive staff who supported people in a dignified and respectful way. People’s right to privacy was upheld. People had been supported to maintain friendships that were important to them. Staff and the registered manager respected people's diverse needs and promoted an open culture.
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 had access to complaints procedures and their feedback was used to inform service delivery. The registered manager had systems in place to ensure people’s risks were mitigated. The registered manager worked in line with the requirements of their registration.
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 (published 13 October 2017).
Why we inspected
This was a planned inspection based on the previous rating.
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.