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CareTech Community Services Limited - 82 Chaucer Road Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 4 February 2020

About the service:

CareTech Community Services Limited- 82 Chaucer Road is a residential care home providing personal care to eight younger adults living with a learning disability or autism. People had their own bedrooms with en-suite facilities and shared communal areas such as a kitchen, lounges, bathrooms and a garden.

The service had not been fully 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.

The service was a large home, bigger than most domestic style properties. It was registered for the support of up to eight people. Eight people were using the service. This is larger than current best practice guidance. However, the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

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

The provider and registered manager had limited oversight of the service and audits were not always effective at identifying where improvements could be made. Staff did not feel supported by the provider and people were not always being supported to achieve good outcomes. Feedback about the service from people was not always actioned in a timely manner.

People were not always kept safe at the service as medicines were not always managed safely. Risks assessments were in place; however, these were not always reflective of people’s current support needs. Some areas of the service needed a deep clean to promote good infection control. There were enough staff to support people safely. However, staff members were not receiving relevant training or frequent supervision to ensure that they were effective in their job roles. We have made a recommendation about the provider’s training programme.

The premises were in need of redecoration and repair in several areas. We have made a recommendation about the environment at the service. People were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not always support this practice. We have made a recommendation about best practice regarding the Mental Capacity Act.

The service did not always consistently apply 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 did not fully reflect the principles and values of Registering the Right Support as people were not always supported to follow their interests, have meaningful goals and be a part of their community. We have made a recommendation that the service consult best practice guidance when supporting people living with a learning disability.

People were supported by a kind and compassionate staff team who had gotten to know them as individuals. People’s privacy, dignity and independence was respected and upheld by the staff team. However the provider did not always support staff to do this as they did not keep up to date with best practice guidance.

People were supported to live healthy lives and were supported to eat and drink a varied diet. People h

Inspection areas

Safe

Requires improvement

Updated 4 February 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 4 February 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 4 February 2020

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 4 February 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 4 February 2020

The service was not always well-led.

Details are in our well-led findings below.