Background to this inspection
Updated
26 March 2019
The inspection: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: The inspection team consisted of one inspector.
Service and service type: The service is a 'care home'. People in care homes receive accommodation and personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at on 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: The inspection took place on 28 February 2019 and was unannounced.
What we did: The provider had completed a Provider Information Return. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. The information provided by the provider was used to plan our inspection and was taken into account when we made judgements in this report.
We looked at other information we had including notifications received from the service and other healthcare professionals including safeguarding and commissioners.
During the inspection we spent time with people living at the service. We spoke with one person, the registered manager, the deputy manager a director a local authority commissioner.
We reviewed two people's care records and two staff files including recruitment, supervision and training information. We reviewed medicine administration records for people as well as records relating to the management of the service.
Updated
26 March 2019
About the service: Surrey Place is a residential care home that was providing accommodation and personal care to two adults with learning disabilities.
The service has been developed and designed in line with the values that underpin the ‘Registering the Right Support’ and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and/or autism using the service can live as ordinary life as any citizen.
People’s experience of using this service: Improvements had been made since the last inspection in 25 June 2018. People told us the changes had improved the service.
Changes to the environment had a positive impact on people. Improvements had been made to ensure medicines were managed, stored and administered safely by staff trained for this role.
New risk assessments were in place. Staff knew how to keep people safe and were trained in safeguarding.
Audits and monitoring systems were effective at managing the service and making improvements.
Robust recruitment and selection procedures ensured suitable staff were employed.
Staff received appropriate training and support to meet people’s individual needs.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People were supported to have enough to eat and drink.
Appropriate healthcare professionals were involved in people’s care and support as and when this was needed.
People spoke positively about the registered manager and the wider management team. There was an effective quality assurance system in place to ensure the quality of the service and to drive improvement.
There were systems in place for communicating with staff, people and their relatives to ensure they were fully informed via team meetings, phone calls and resident meetings.
People had strong links to the local community through regular access to local services.
People were supported to be independent and their rights were respected. Support was provided in a way that put the people and their preferences first. Information was provided for people in the correct format for them.
More information is in the Detailed Findings section below. For more details, please see the full report which is on the Care Quality Commission’s (CQC) website at www.cqc.org.uk
Rating at last inspection: The rating at the last inspection was Requires Improvement (report published 8 August 2018).
Why we inspected: This inspection was a scheduled inspection based on the previous rating.
Follow up: We will continue to monitor information we receive about the service. If any concerning information is received, we may re inspect sooner.