6 November 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.
One inspector carried out this inspection.
Service and service type
183 Ashby Road 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.
At the time of this inspection 183 Ashby did not have a manager registered with the care quality commission. However, the day to day management was provided by a registered manager from another of the provider’s locations. We confirmed the provider was in the process of recruiting a registered manager for this location. This means they, along with the provider, will be legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was announced. The provider was given 24 hours' notice because the location was a small care home for younger adults who are often out during the day; we needed to be sure that someone would be in.
What we did before the 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.
We asked the local authority and Healthwatch for any information they had which would aid our inspection. Local authorities together with other agencies may have responsibility for funding people who used the service and monitoring its quality. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of this information to plan our inspection.
During the inspection
We spoke with two people and who used the service about their experience of the care provided and one relative. In addition, we spent time with people in the communal areas observing the care and support provided to help us understand the experience of people who could not talk with us.
We spoke with five members of staff including the registered manager, three support workers and the operations manager.
We reviewed a range of records. This included two people's care records including the records of medicine administration. We confirmed the safe recruitment of one staff member. In addition, we looked at a variety of records relating to the management of the service, including any quality monitoring checks.
6 November 2019
About the service
183 Ashby Road is a small location providing accommodation for up to five people with learning disabilities and who require nursing or personal care. Accommodation was provided in one building. At this inspection four people were living there.
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's experience of using this service and what we found
People were protected from harm and abuse as the staff team had been trained to recognise potential signs of abuse and understood what to do.
People received safe care and support as the systems and procedures at 183 Ashby Road were effective in minimising the potential risks to people.
People had individual assessments of risk associated with their care and support. Staff members were aware of the necessary action they should take in the event of an emergency.
People received their medicines safely. Staff members followed the guidelines in place for safely supporting people.
The provider had effective systems in place to identify any potential errors with medicines.
Staff members followed effective infection prevention and control measures.
The providers quality monitoring procedures were effective in identifying and driving good care and support.
The management team supported staff in providing effective care for people through person-centred care planning, training and one-to-one supervision. People had access to additional healthcare services when required.
People were supported to maintain a healthy diet by a staff team which knew their individual likes and dislikes.
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 received help and support from a kind and compassionate staff team with whom they had developed positive relationships. People were supported by staff members who were aware of their individual protected characteristics like age, gender, disability and religion.
People were provided with information in a way they could understand.
The provider had systems in place to encourage and respond to any complaints or compliments from people or those close to them.
The provider, and management team, had good links with the local communities within which people lived.
Rating at last inspection
The last rating for this service was 'Good' (published 03 May 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 reinspection programme. If we receive any concerning information we may inspect sooner.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for 183 Ashby Road on our website at www.cqc.org.uk