16 December 2022
During a routine inspection
About the service
21 Lucerne Road is a residential care home providing personal care to 3 people with a learning disability and/or autism at the time of the inspection. The service can support up to 3 people.
People’s experience of using this service and what we found
Right Support:
People did not always receive care in an environment which was safe as risks relating to radiator burns and falls from height had not always been fully assessed. Risks relating to each person’s care had not always been fully assessed. This meant the service may not have been doing everything possible to keep people safe.
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 at the time of this inspection supported this practice.
The service gave people care and support in a clean and hygienic home and a plan to renovate the service was in place. People received care in a person-centred way, to meet their needs. People were encouraged to do as much as they wanted, to build and maintain their independent living skills. People were supported to see the healthcare professionals they needed to remain healthy. Staff supported people to make day to decisions about their care and support and people were asked for consent and for their preferences. Staff understood the best ways to communicate with people.
Right Care:
People’s care plans were not always sufficiently detailed nor recently reviewed to remain reliable for guiding staff. The provider told us this was an oversight due to switching to an electronic system and they would rectify this immediately.
Staff promoted equality and diversity and respected people’s cultural needs. People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. The registered manager and staff understood how to protect people from poor care and abuse. The service had enough staff to meet people’s needs and keep them safe. Staff understood the best ways to communicate with people. People could take part in activities they were interested in.
Right Culture:
The provider’s oversight of the service could be improved because they had not always identified and rectified the issues we found. Despite the issues we found, people received good care and support and had a good quality of life. Staff understood people well and had worked with them for many years. People and those important to them, were involved in planning their care.
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 requires improvement (published 17 April 2020).
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
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.
We have found evidence that the provider needs to make improvements. Please see the full report for further details.
Enforcement
We have identified 2 breaches in relation to safe care and treatment and good governance at this inspection. Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.