We carried out a review of the data available to us about Sudley Road on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Sudley Road, you can give feedback on this service.
Sudley Road is registered to provide personal care services to people with learning disabilities living within supported living accommodation. At the time of the inspection 21 people were living in individual flats supported by this service of which 13 people were receiving personal care.
The care service is in line with some of the values that underpin Registering the Right Support and other best practice guidelines. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
We had previously inspected Sudley Road in April 2016 and rated the service Good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
At this inspection we found the service remained Good. However, we found some areas had deteriorated and needed to improve. Records were not always accurate or clear. The procedure for ensuring that staff had read updated guidance was not robust. Information was not always accessible to people in a format that was relevant to their communication and information needs.
There was a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and social care Act 2008 and associated Regulations about how the service is run.
The service had systems in place to record safeguarding concerns, accidents and incidents and take necessary action as required. Records showed that staff had received safeguarding training and understood their responsibilities to provide safe care and protect people. There were sufficient staff available to provide the care and support people needed.
New staff received a comprehensive induction and demonstrated a good understanding of their roles and responsibilities. Staff told us that they received very good training from the provider and felt confident that the support they provided was safe and effective to meet people’s needs. Staff told us that they ensured people were involved in decisions on how to manage the risks they faced and regularly reviewed risk assessments.
Staff knew their responsibilities as defined by the Mental Capacity Act 2005 (MCA 2005) People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.
We observed that staff were friendly, respectful, patient and caring towards individuals. People were approached with a supportive and compassionate manner and staff had a good understanding of protecting people’s dignity and privacy. People were supported to have enough to eat and drink and to access health care services when they needed to.People were receiving care in a personalised way. Staff were responsive to changes in people’s needs.
There was a system of quality assurance led by the provider and registered manager that ensured people received good care and support. The registered manager had systems in place to obtain the views of people who use the service. Staff told us that the service was well managed and there was good support. The registered manager promoted a culture or respect, involvement and independence.
Further information is in the detailed findings below.
Sudley Road provides personal care in a setting called ‘supported living.' Supported living is a type of residential support that helps people to live independently in the community. Supported living arrangements are very flexible and are designed to give each person choice and control over their home and the way they live their life. There were 14 people aged 28 to 65 years who received personal care. These people also received support with activities and independent living skills. A further seven people were supported with activities and independent living skills but did not receive personal care. The service specialises in the care of adults with a learning disability.
The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Staff were trained in adult safeguarding procedures and knew what to do if they considered people were at risk of harm or if they needed to report any suspected abuse. People and their relatives said the staff provided safe care.
Care records showed any risks to people were assessed and there was guidance of how those risks should be managed to prevent any risk of harm.
People received their medicines safely.
Staff were well trained and supervised and had had access to a range of relevant training courses, including nationally recognised qualifications.
The CQC monitors the operation of the Mental Capacity Act (MCA) 2005. Staff were trained in the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards (DoLS). Where people lacked capacity to consent to their care and treatment assessments were carried out in line with the MCA and its associated Code of Practice.
People were supported with shopping and the preparation of meals where this was needed.
People’s health care needs were assessed, monitored and recorded. Referrals for assessment and treatment were made when needed and people received regular health checks.
Staff had positive working relationships with people. Staff acknowledged people’s rights to privacy and choice. Staff were observed to be skilled in working with people who had behaviour needs.
Care was provided to people based on their individual needs which we call person centred care. People’s preferences and individual needs were acknowledged in the assessment of their needs and in how care was provided. Staff had a good knowledge of people’s changing needs.
People were supported to attend a range of activities, which included employment, hobbies, social events, holidays and trips to the cinema.
The service had a complaints procedure, which people and their relatives said they were aware of. People and their relatives said any issues or concerns were listened to and acted on.
People and their relatives’ views were sought as part of the service’s quality assurance process. The service promoted people to take part in decision making.
There were a number of systems for checking the safety and effectiveness of the service such as regular audits.