3 December 2019
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.
This inspection was carried out by one inspector
Service and service type
Community Integrated Care (CIC) - 2 Seafarers Walk is a ‘care home’. 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.
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. We used this information to plan our inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection-
We spoke with one person who used the service and one person’s relative about their experience of the care provided. We spent time observing care of other people to help us understand the experience of people who could not talk with us. We spoke with four members of staff including the registered manager, senior support worker and two support workers.
We reviewed a range of records. This included three people’s care records and medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at recruitment, quality assurance records and some health and safety records. The registered manager updated us on the actions they had taken in response to our feedback. We spoke with two people’s relatives.
3 December 2019
About the service
Community Integrated Care (CIC) – 2 Seafarers Walk is a residential care home providing accommodation and personal care to five people living with a learning disability or autistic spectrum disorder at the time of the inspection. The service can support up to five 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 continued to receive safe care at Community Integrated Care (CIC) - 2 Seafarers Walk. People’s relatives spoke highly of the quality of care people received and told us their relatives were safely cared for. People’s risks were assessed, and staff knew how to support people to minimise risks to their health and wellbeing. Safeguarding concerns were acted on appropriately and checks were carried out to protect people from the employment of unsuitable staff. Some improvements were required in the management of people’s medicines and the registered manager acted to address these immediately following our inspection.
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.
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.
Staff completed training to enable them to effectively meet people’s needs and were supported in their role. Staff acted on healthcare concerns to ensure people received the treatment they needed and regular check-ups
People were supported by kind, caring and compassionate staff. A person’s relative said “They [staff] are angels, they are so nice.” Staff knew how to provide respectful care, to promote people’s dignity and right to privacy.
Person centred care plans described how people preferred to receive their care and included information on how to meet people’s communication needs. Activities in the service and the community were provided so that people could have new experiences and maintain their interests.
The provider, registered manager and senior support worker promoted a positive culture for people and staff. A system was in place to monitor the quality and safety of the service, some audits required action plans and more robust monitoring. The registered manager acted to address this.
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 28 April 2017).
Why we inspected
This was a planned inspection based on the previous rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Community Integrated Care (CIC) - 2 Seafarers Walk on our website at www.cqc.org.uk.
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.