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CareTech Community Services Limited - 237 Kenton Road Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 26 February 2021

About the service

CareTech Community Services – 237 Kenton Road is a residential care home providing care and accommodation for up to 12 people with a learning disability. During the day of our inspection eight people lived at the service.

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

Quality assurance assessments were not always effective and improvements to the quality of care provided were not always actioned swiftly. As a result, people’s environment was not maintained appropriately. We were not always assured that infection and prevention control was maintained safely. For example, we found surfaces were not cleaned regularly and people’s temperature was not checked daily to ensure they did not show COVID-19 symptoms. There were no COVID-19 risk assessments for people who used the service or staff from vulnerable groups, this may put staff and people at unnecessary risk when exposed to the COVID-19 virus. We were concerned that the service did not used laptops provided for people to communicate with others or take part in virtual activities in replacement for activities provided by day centres they attended prior to their closure due to COVID-19.

Processes and procedures were in place to protect people from abuse and staff were confident that allegations of abuse would be dealt with. Risks in relation to people’s health and social care needs had been assessed and guidance to manage those risk was developed to support staff and people to manage those risks. People who used the service received their medicines safely and enough staff were deployed to meet people’s needs. Accidents and incidents were documented and discussed with staff during team meetings.

People’s needs were assessed and supported by an experienced and skilled staff team. People received a well-balanced and nutritious diet and were not unlawfully deprived of their liberty. People’s health care needs were met, and external stakeholders were involved in the care and support of people who used the service. Most of the time 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.

Care records were detailed and provided clear guidance for staff in how to support people and meet their needs.

Staff and relatives told us that they were happy with the new manager, who they said had an open-door policy and was supportive. The manager engaged with external sources to learn from and improve the quality of care provided.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the guidance Care Quality Commission (CQC) follows to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was not always able to demonstrate how they were meeting the underpinning principles of Right support, Right care, Right culture. The service did not always provide person centred activities and lacked imagination in making use of Information Technology and Social Media.

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 11 May 2019).

Why we inspected

We received concerns in relation to safeguarding, staffing, infection control, maintenance, sharing of images, consent, activities and management. As a result, we undertook a focused inspection to review the key questions of safe, effective, responsive and well-led.

We reviewed the information we held about the service. No areas of concern were identified in the other key question. We therefore did not inspect these. Ratings from previous c

Inspection areas

Safe

Requires improvement

Updated 26 February 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 26 February 2021

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 26 February 2021

Responsive

Requires improvement

Updated 26 February 2021

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 26 February 2021

The service was not always well-led.

Details are in our well-Led findings below.