Background to this inspection
Updated
11 March 2020
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. 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.
Inspection team
The inspection was carried out by one inspector.
Service and service type
The Royal 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
We reviewed information we had received about the service since the last inspection, including notifications. Notifications are information about specific important events the service is legally required to send to us. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
We used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service, about their experience of the care provided. We spoke with the registered manager, the deputy manager, and five care staff. We reviewed a range of records, including five people’s care records and medication records. We looked at three staff files in relation to recruitment and staff supervision. We also viewed a variety of records relating to the management of the service, including records relating to health and safety and fire safety.
After the inspection
We spoke with two people’s relatives and received feedback from two health and social care professionals involved with the service. We reviewed the information we had gathered during the inspection, including policies and procedures and records relating to quality assurance.
Updated
11 March 2020
About the service
The Royal is a residential care home. It is registered to provide accommodation and personal care support for up to seven people and predominantly supports people with a learning disability, autism or mental health need. At the time of the inspection the service was providing support to 7 people.
The Royal is a large building which offers seven bedrooms and is located on a high street with easy access to local facilities and good public transport links. 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
Appropriate safeguarding procedures protected people from the risk of abuse. There were enough staff to meet people's needs and they had been recruited safely. Individual and environmental risks were managed appropriately. People received their medicines safely and as prescribed.
Staff received appropriate training and support to enable them to carry out their role effectively.
The service worked well with health and social care professionals to ensure people received effective care.
People received a good service where staff demonstrated high standards of kindness and compassion. Staff had built trusting relationships with people and showed genuine affection for the people they cared for.
Staff were motivated and showed dedication to improve people's lives, by supporting them to lead their lives as they wished. The service was committed to promoting people's independence in all aspects of day to day life.
People's privacy and dignity were respected. The provider advocated for people's rights and supported their equality and diversity needs.
People received a good standard of person-centred care which valued their individual choices and met their different needs. Staff provided support in a way that gave people a voice and enabled choice and control over their care.
People were provided with the opportunity to take part in a wide range of mentally and physically stimulating activities and staff encouraged people to maintain and develop relationships that were important to them.
Care plans were clear, detailed and person-centred, which guided staff on the most appropriate way to support them. A complaints procedure was in place, which ensured concerns were investigated and acted upon appropriately.
People and their relatives felt the service was run well. A clear management structure was in place and feedback about the service was sought from people, their relatives and staff. Quality assurance systems were in place to assess monitor and improve the service.
Rating at last inspection
The last rating for this service was Good (published 8 February 2019).
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.