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Optima Care Limited - 37 Spenser Road Inadequate

We are carrying out a review of quality at Optima Care Limited - 37 Spenser Road. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Inadequate

Updated 26 March 2021

About the service

Optima Care Limited - 37 Spenser Road is a 'care home' providing personal care for up to 13 people with a with a learning disability and physical disabilities. At the time of our inspection 10 people were living at the service.

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

People were not protected against risks associated with their care. The environment and equipment were not always clean or properly maintained. These concerns were raised at the last inspection but had not been addressed. Staff were not always raising concerns around about neglect and abuse. The local authority were not always being informed when safeguarding incidents occurred.

People’s medicines were not always being managed in a safe way. Accidents and incidents were not always recorded, and not enough action was taken to reduce further risks to people.

There was an insufficient number of staff deployed to ensure that people received their care when needed. The registered manager and provider did not have appropriate systems in place to review the dependencies of people to ensure sufficient staff were on duty.

The leadership at the service was not robust and there was a lack of auditing to review the quality of care provided. Staff did not always feel supported or valued. Notifications were not always being sent to the CQC when it was appropriate to do so.

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 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 able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture. People were not always supported with their independence. Staff did not always have an understanding of the support and care people needed to enable them to have a fulfilled life. The was a closed culture at the service where practices were at time institutionalised.

Right support:

• Model of care and setting did not maximise people’s choice, control and Independence

Right care:

• Care was not person-centred and did not promotes people’s dignity, privacy and human rights

Right culture:

• Ethos, values, attitudes and behaviours of leaders and care staff did not ensure people using services lead confident, inclusive and empowered lives

Following this inspection, we worked closely with the local authority (Kent County Council) and the Clinical Commissioning Group (CCG) to ensure people were safeguarded from ongoing harm. Alternative placements are being sought for some people.

Rating at last inspection (and update)

The last rating for this service was Inadequate (published 22 October 2020) and there were 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 sufficient improvements had not been made and the provider remained in breach of regulations.

This service has been in Special Measures since 22 October 2020. During this inspection the provider was unable to demonstrate that improvements had been made. The service is rated as inadequate in the key questions Safe and Well Led. Therefore, this service remains in Special Measures

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection. We received concerns in relation to people not being safeguarded from the risk of abuse. As a result, we undertook a focused inspection to review the key questions of Safe and Well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not in

Inspection areas

Safe

Inadequate

Updated 26 March 2021

The service was not safe.

Details are in our safe findings below

Effective

Good

Updated 26 March 2021

Caring

Good

Updated 26 March 2021

Responsive

Requires improvement

Updated 26 March 2021

Well-led

Inadequate

Updated 26 March 2021

The service was not well led.

Details are in our well led findings below