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Inspection Summary


Overall summary & rating

Good

Updated 11 December 2019

About the service

Chiswick Care Limited is a residential care home providing accommodation and personal care for people living with autism, learning and physical disabilities. Chiswick Care Limited accommodates up to six people in one adapted building. At the time of the inspection there were six people living at the service.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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

Some people were able to tell us that they were happy and content living at Chiswick Care Limited. For people who were unable to verbalise how they felt, we observed them to be happy and we saw that they knew care staff well and were confident in approaching them at any time.

People told us they felt safe living at Chiswick Care Limited. Staff knew who to speak with if they had any concerns about people and ensuring their safety.

Risks associated with people’s health and care needs had been assessed and guidance provided to care staff on how minimise risks to keep people safe from harm.

People received their medicines safely and as prescribed.

There were sufficient numbers of staff available to support people safely. Recruitment processes enabled the provider to only recruit those staff assessed as safe to work with vulnerable adults.

People were supported to maintain a healthy and balanced diet. People had access to a variety of healthcare professionals where there was an identified need.

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.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

Care staff knew people well and responded to them in ways which promoted their individuality and independence.

Care plans were detailed and listed people’s support needs and how staff were to support people with their identified needs.

Management oversight processes in place enabled the service and the provider to monitor and where required improve the quality of care people received.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection (and update)

The last rating for this service was good (published 3 June 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

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

Inspection areas

Safe

Good

Updated 11 December 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 11 December 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 11 December 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 11 December 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 11 December 2019

The service was well-led.

Details are in our well-Led findings below.