11 December 2019
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 Care Act 2014.
The inspection was carried out by one inspector.
Service and service type
Chiswick Care Limited is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. 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.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
Prior to the inspection, we reviewed the information that we held about the service and the provider including notifications affecting the safety and well-being of people who used the service.
We reviewed the Provider Information Return (PIR) which the provider had sent to us. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We also used all of this information to plan our inspection.
During the inspection
During the inspection we spoke with two people using the service and three relatives to obtain their feedback on the care and support that they or their relative received. Only two people we spoke with were able to communicate and respond to the questions we asked. Other people responded through some use of words or through expressions. We also observed interactions between people and care staff. We spoke with the registered manager, the deputy manager and three support staff.
We looked at three care records, medicines administration records and medicine supply for all six people who used the service. We also looked at the personnel and training files of four staff. Other documents that we looked at relating to people's care included risk assessments, staff meeting minutes, handover notes, quality audits and policies and procedures.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.
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.
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.