Archived: 11 Tooting Bec Gardens

Updated 30 September 2022

The inspection

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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by two inspectors.

Service and service type

11 Tooting Bec Gardens is a care home. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with three people using the service to gather their views. We spoke with four staff members including care workers, the deputy manager and registered manager. We reviewed three people’s care plans, medicines records, staff recruitment records and other records relating to the management of the service.

Updated 30 September 2022

About the service

11 Tooting Bec Gardens is a residential care home providing personal care to up to eight people. The service provides support to people with mild to severe learning disabilities or autistic spectrum Disorder. At the time of our inspection there were seven people using the service. The care home accommodates people in one adapted building in the London borough of Lambeth.

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

The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right Support

People were kept safe from avoidable harm because staff knew them well and understood how to protect them from abuse. The service worked well with other agencies to do so. The service had enough staff, including for one-to-one support for people to take part in activities and visits how and when they wanted. People received supported from staff to make their own decisions about medicines wherever possible. Staff received support in the form of continual supervision, appraisal and recognition of good practice. People were referred to health care professionals to support their wellbeing and help them to live healthy lives.

Right Care

People received kind and compassionate care from staff who used positive, respectful language which people understood and responded well to. Staff supported people to express their views using their preferred method of communication. People had the opportunity to try new experiences, develop new skills and gain independence. People received support to eat and drink enough to maintain a balanced diet.

Right Culture

Staff provided people with personalised, proactive and co-ordinated support in line with their communication and support plans. The registered manager worked hard to instil a culture of care in which staff truly valued and promoted people's individuality, protected their rights and enabled them to develop and flourish. Staff felt respected, supported and valued by senior staff which supported a positive and improvement-driven culture.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and 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 supporting people with a learning disability and autistic people and providers must have regard to it.

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 18 October 2017).

Why we inspected

This inspection was prompted by concerns identified at another of the provider's services in relation to failure to submit statutory notifications to the Care Quality Commission.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the well-led sections of this full report.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for 11 Tooting Bec Gardens on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.