13 October 2022
During a routine inspection
About the service
Minstead House is a residential care home providing personal care for up to 8 people. The service provides support to people with learning disabilities and autism. At the time of the inspection there were 6 people living in the home.
People’s experience of using this service and what we found
Right Support: The risks to people were identified; however, these risks and the plans for keeping people safe were not always reviewed. Staff knew how to look after people. People and their relatives told us their needs were being met in the home.
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 supported this practice.
Right Care: Improvements were needed in relation to the management of people’s medicines. Staff training needs had not been consistently monitored and addressed. The provider protected people from poor care and abuse. The provider ensured people were treated with respect and dignity whilst receiving care and treatment. Staff knew people well and cared for them in the way they wished.
Right Culture: The provider had failed to implement effective systems to assess, monitor and improve the quality and safety of people’s care. People’s care records were not always accurate, up-to-date and complete. People and their relatives told us the provider was communicative. Staff felt supported by the provider and able to do their job.
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 14 March 2018)
Why we inspected
We received concerns in relation to the safety of people and the culture of the home. As a result, we undertook a comprehensive inspection. We found no evidence during this inspection that people were at risk of harm from this concern.
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 Safe, Effective, Responsive and Well-led sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Minstead House on our website at www.cqc.org.uk.
Enforcement
We have identified a breach in relation to the provider’s governance and quality assurance processes 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 quality and 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.