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CareTech Community Services Limited - 19 Wheelwright Road Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 23 October 2020

About the service

CareTech Community Services Limited- 19 Wheelwright Road is a residential care home providing care to six people who are living with a learning disability or autism at the time of the inspection.

The care home accommodates six people in one adapted building. Two people have their own flats and the four other people share communal living areas. The service has been designed taking into account best practice guidance and the principles and values underpinning Registering the Right Support (RRS) in respect of the environment. The building design was similar to other homes in the residential area and was in keeping with other homes in the street. There were deliberately no identifying signs, cameras, industrial bins or anything else outside to indicate it was a care home.

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

People received safe support with their medicines. There had been improvement in safeguarding systems and in systems around supporting people with behaviours that challenge. Further improvement was needed to ensure these became fully effective and embedded into practice. There were sufficient staff available to support people safely.

There had been some improvements made to the provider’s governance systems. However, we found that systems had not been consistently effective in identifying some of the areas for improvement that we found at the inspection. Further improvement was needed to ensure the systems were fully effective and embedded into practice.

Staff reported a positive change in the culture of the service and the positive effect this had had for people living at the home.

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 requires improvement overall and inadequate in well led (published 2 July 2020). We identified multiple breaches of regulation.

The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection we found enough improvement had been made in some of the areas of concern we had previously identified, and the provider was no longer in breach of two regulations relating to safeguarding and safe care and treatment. However, enough improvement had not been sustained in the monitoring of the service and the provider remains in breach of this regulation (Regulation 17, Good Governance).

The last rating for this service was requires improvement (published 2 July 2020). Following this inspection the service remains rated requires improvement. Whilst the service had previously been rated Good in February 2019, the last two inspections have rated the service as requires improvement.

Why we inspected

There were significant concerns raised around the culture and safety of the service at the last inspection. Whilst we had received assurance that improvements were in progress a decision was made for us to inspect to assess the culture of the service and to assess the improvements we had been informed about. The ratings from the previous comprehensive inspection for the other key questions not inspected were used in calculating the overall rating at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for CareTech Community Services Limited- 19 Wheelwright Road on our website at www.cqc.org.uk.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 23 October 2020

The service was not always safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 23 October 2020

Caring

Requires improvement

Updated 23 October 2020

Responsive

Requires improvement

Updated 23 October 2020

Well-led

Requires improvement

Updated 23 October 2020

The service was not always Well- Led.

Details are in our Well-Led findings below.