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Optima Care Limited - 37 Spenser Road Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 4 July 2019

About the service:

37 Spenser Road is a residential care home that provides personal care for up to 13 people who may have a learning disability, or autism. At the time of our inspection there were 12 people living there.

For more details, please see the full report which is on the CQC website at

People’s experience of using this service:

People were engaged in some activities of their choosing, however during the inspection we observed people without person centred interactions or activities for long periods of time. People had activity planners in place, however these were not consistently followed, and we did not see any evidence of alternative activities being offered on the day of our inspection.

The service had been through a transition following the registered manager leaving the service in June 2018 which had impacted on the quality of documentation. Staff and a relative informed us this period had been unsettling. We identified that risk assessments and care plans had not been updated for significant periods of time, however, permanent staff had a good understanding of people’s needs.

People were supported to live healthy lives, for example, being part of a gym or taking part in ‘talk and walk’ sessions. People had access to healthcare professionals and their needs were reviewed and re-assessed when their needs changed.

The environment had some adaptations; corridors were wide enough for wheelchair access, and there was easy access to the patio garden. People were involved in the preparation of food, and people with visual impairments had adapted utensils to enable them to be as independent as possible.

We observed kind and caring interactions between people and staff. Staff had a good understanding of people’s histories and likes and dislikes and used this to support people effectively. Staff used a range of communication techniques to support people, for example picture cards or different forms of sign language.

The home had not always been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensured that people could live as full a life as possible and achieved the best possible outcomes. The principles reflect the need for people with learning disabilities and autism to live meaningful lives that include control, choice, and independence. The people living at the service did not consistently receive planned and co-ordinated person-centred support that was appropriate and inclusive for them.

Rating at last inspection:

At the last inspection the service was rated Good. (14 June 2017)

Why we inspected:

This was a planned inspection based on the rating at the last inspection.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

Inspection areas


Requires improvement

Updated 4 July 2019

The service was not always safe.



Updated 4 July 2019

The service was effective.



Updated 4 July 2019

The service was caring.


Requires improvement

Updated 4 July 2019

The service was not always responsive.


Requires improvement

Updated 4 July 2019

The service was not always well-led.