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Inspection carried out on 27 August 2019

During a routine inspection

About the service

Oval Residential Home is a care home providing personal care and accommodation to people living with mild to moderate learning disabilities. The service can support up to three people. The care home accommodated two people at the time of this inspection 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 of 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 told us they felt safe living at this home. The registered manager, deputy manager and staff understood their responsibilities to raise concerns and report incidents or allegations of abuse.

The registered manager had planned and booked training to ensure staff had appropriate knowledge to support people.

Risks to people's personal safety had been assessed and plans were in place to minimise those risks.

The premises were cleaned and well maintained. Safe infection control procedures were in place that staff implemented effectively.

People enjoyed the food and could choose what they ate. People’s cultural preferences were catered for.

Staff recruitment and staffing levels supported people to stay safe while working towards their goals and going about their lives.

The administration of medicines to people was safe, and people received their medicines as prescribed. The storage of medicines was safe.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People received effective care and support from staff who knew them well.

People had their healthcare needs identified and were able to access healthcare professionals such as their GP. We observed kind and friendly interactions between staff and people. People told us staff were caring and respected their privacy and dignity.

People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

There were systems in place to ensure concerns and complaints were responded to in an appropriate way.

The service encouraged feedback from people, families, and professionals, which they used to make improvements to the service and protect people against the risks of receiving unsafe and inappropriate care and treatment.

Staff felt the registered manager was supportive and open with them and communicated what was happening at the service and with the people living there.

The provider had quality assurance systems in place to monitor the running of the service and the quality of the service being delivered. With the help of the staff team, they took actions to address any issues.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

At the last inspection the service was rated good (Report was published 23 January 2017).

Why we inspected

This was a planned inspection in line with our inspection schedule based on the previous rating.

Follow up

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.

Inspection carried out on 23 January 2017

During a routine inspection

Oval Residential Home is a residential care home, providing accommodation and personal care for up to three people with learning disabilities and mental health issues. There is a second home at 170 Oval Road, again for up to three people which is run and managed by the same provider. Oval Residential Home has a registered manager who also manages the sister home. A registered manager is a person who has registered with the Care Quality Commission to manage the service and shares the legal responsibility for meeting the requirements of the law with the provider.

At our previous inspection in November 2014, we found the provider was meeting the regulations we inspected.

People were able to tell us directly what their views were of the service and told us that they felt safe using the service. Staff were trained in safeguarding adults and the service had policies and procedures in place to ensure that the service responded appropriately to allegations or suspicions of abuse. The service ensured that people’s human rights were respected and took action to assess and minimise risks to people. Staff had received training on behaviour that may challenge and the service consulted with other professionals about managing aspects of behaviour safely.

Both people told us that they thought that staff were friendly and helpful. Throughout our inspection we observed that staff were caring and attentive to people. Staff approached people with dignity and respect and demonstrated a good understanding of people’s needs. Staff were quick to respond when people needed support.

There were enough qualified and skilled staff at the service. Staff had access to information, support and training that they needed to do their jobs well. The provider’s training programme was designed to meet the needs of people using the service so that staff had the knowledge they required to care for people effectively. The provider also made use of training provided by the local authority social services team when this was offered.

People were provided with a range of activities in and outside the service which met their individual needs and interests. People were encouraged to build and develop their independent living skills both in the service and in the community.

Care plans contained information about the health and social care support people needed and records showed they were supported to access other professionals when required. People were involved in making decisions about their care. Where people's needs changed, the provider responded and reviewed the care provided.

People using the service and staff told us they found the manager to be friendly and accessible. We observed an open and inclusive atmosphere in the service and the manager led by example. Staff were happy working for the service and motivated to provide person centred care.

The service had effective procedures for reporting and investigating incidents and accidents.

Inspection carried out on 24/11/14

During a routine inspection

Oval Residential Home is a residential care home, providing accommodation and personal care for up to three people with learning disabilities. There is a second home at 170 Oval Road, again for up to three people which is run and managed by the same provider. Oval Residential Home has a registered manager who also manages the sister home. A registered manager is a person who has registered with the Care Quality Commission to manage the service and shares the legal responsibility for meeting the requirements of the law with the provider.

At our previous inspection in September 2013, we found the provider was meeting the regulations we inspected.

People were able to tell us directly what their views were of the service and told us that they felt safe using the service. Staff were trained in safeguarding adults and the service had policies and procedures in place to ensure that the service responded appropriately to allegations or suspicions of abuse. The service ensured that people’s human rights were respected and took action to assess and minimise risks to people. Staff had received training on behaviour that may challenge and the service consulted with other professionals about managing aspects of behaviour safely.

Both people told us that they thought that staff were friendly and helpful. Throughout our inspection we observed that staff were caring and attentive to people. Staff approached people with dignity and respect and demonstrated a good understanding of people’s needs. Staff were quick to respond when people needed support.

There were enough qualified and skilled staff at the service. Staff had access to information, support and training that they needed to do their jobs well. The provider’s training programme was designed to meet the needs of people using the service so that staff had the knowledge they required to care for people effectively. The provider also made use of training provided by the local authority social services team when this was offered.

People were provided with a range of activities in and outside the service which met their individual needs and interests. People were encouraged to build and develop their independent living skills both in the service and in the community.

Care plans contained information about the health and social care support people needed and records showed they were supported to access other professionals when required. People were involved in making decisions about their care. Where people's needs changed, the provider responded and reviewed the care provided.

People using the service and staff told us they found the manager to be friendly and accessible. We observed an open and inclusive atmosphere in the service and the manager led by example. Staff were happy working for the service and motivated to provide person centred care.

The service had effective procedures for reporting and investigating incidents and accidents.

Inspection carried out on 11 September 2013

During a routine inspection

The people who use this service told us that they like to be called residents. They said that they had sufficient information about the care and support they received and that they enjoyed living at the home. They said that they liked the food and their meals and they said that they had enough to do during the day in terms of activities. One resident who was knitting told us, “I like doing puzzles. We have just come back from holiday at Centre Parks, we had a lovely time, we were there for a week and it was sunny and warm and the food was good”. Another resident was writing in a note book and told us that they had gone on the same holiday and that, “It was great. I had a good time”.

People told us that they felt safe and well cared for and that they knew how to make a complaint. One person said, “I know how to complain if I want to but I don’t want to, I like it here”.

Inspection carried out on 14 February 2013

During a routine inspection

The people who use this service told us that they like to be called residents. They said that they had sufficient information about the care and support they received and that they enjoyed living at the home. They said that they liked the food and their meals and that they had plenty of activities. One resident was busy knitting and said, “I like doing puzzles. We have just come back from Malta, I really enjoyed it there. It was sunny and warm and the food was good. Every year we go on holidays. I like living here”. Another resident was busy writing, but he said, “The staff are kind to us; I am going on holiday next week too”.

People told us that they felt safe and well cared for and that they knew how to make a complaint. One person said, “I know how to complain if I want to but I don’t want to, I like it here”.

Inspection carried out on 5 July 2011

During a routine inspection

The people who use this service told us that they like to be called residents.

Please see main report for information about what people told us.