We carried out a review of the data available to us about LD Care - Moreton Avenue on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about LD Care - Moreton Avenue, you can give feedback on this service.
About the service
LD Care – Moreton Avenue is a care home for up to 2 people with learning disabilities and autistic people. At the time of the inspection, there were 2 people living at the service. The service is managed by a private limited company operating 4 care homes in North-West London.
People’s experience of using this service and what we found
The service was able to demonstrate how they were meeting and exceeding the underpinning principles of right support, right care, right culture.
Right Support: The staff supported people to have the maximum possible choice, control and independence. Staff focussed on people's strengths and promoted what they could do. People had fulfilling and meaningful everyday lives. People were supported to pursue their interests. The provider gave people care and support in a safe, clean, well equipped and maintained environment. Staff enabled people to access specialist healthcare services. Staff followed best practice when supporting people with communication and making decisions.
Right Care: Staff promoted equality and diversity when they supported people. They understood people's cultural needs and provided appropriate care. Staff were kind, caring and compassionate. They promoted people's privacy and dignity. Staff understood people's individual needs and care was personalised to reflect these. Staff understood how to protect people from poor care and abuse. There were enough skilled staff to meet people's needs. Staff had opportunities to learn and develop their skills. People who had individual ways of communicating could interact with staff comfortably because the staff had the necessary skills to understand them. People were supported to take positive risks and the staff assessed and planned for these.
Right culture: People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff. People received good quality care, support, and treatment because trained staff and specialists could meet their needs and wishes. People were supported by staff who understood best practice in relation to the wide range of strengths, needs and sensitivities people with a learning disability and/or autistic people may have. This meant people received compassionate and empowering care that was tailored to their needs. Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing. Staff turnover was very low, which supported people to receive consistent care from staff who knew them well. Staff placed people’s wishes, needs, and rights at the heart of everything they did. People’s quality of life was enhanced by the service’s culture of improvement and inclusivity.
For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 26 June 2019).
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support, Right care, Right culture.
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.
We found the following examples of good practice.
There were suitable arrangements to keep people safe during the COVID-19 pandemic. These included well organised systems where allocated staff took responsibilities for overseeing COVID-19 testing, checking people's wellbeing and health daily and making sure the environment was clean.
There were suitable policies and procedures in place and the provider had assessed risks for people using the service and staff. There were regular infection prevention and control audits.
The staff undertook training and had the information they needed to support them in this aspect of their role. The provider set up learning sessions for staff where they discussed specific topics. These included COVID-19, the impact of the pandemic and infection control. The staff also shared information with friends and families to make sure they knew about changes in guidance as well as the procedures followed at the service.
The staff told us they had developed their knowledge and understanding during the pandemic. They had worked well as a team learning when things had gone wrong and supporting one another through difficult times.
The staff told us they felt a strong sense of community and support for one another, the people using the service and their families.
People using the service had continued to have active and full lives, even during periods of lockdown. The staff had used the home environment to create new activities, had helped people develop skills such as cleaning and cooking and had helped people develop their literacy and numeracy skills. People had continued to access the community in a safe way and had regular opportunities to see their friends and families.
LD Care - Moreton Avenue is a care home for two adults with learning disabilities. Two people were living at the service at the time of the inspection. The service is part of LD Care Limited, a private organisation managing three other residential care homes in the London Boroughs of Hounslow and Richmond upon Thames. Care staff are employed to work at the service for 24 hours a day.
The service was registered and managed in line with the principles of Registering the Right Support. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going out with people. The size of service meets current best practice guidance. This promotes people living in a small domestic style property to enable them to have the opportunity of living a full life.
People’s experience of using this service and what we found
People living at the service were happy and well cared for. They were able to make choices about their lives and these were respected and promoted. The service had been responsive to their individual needs, for example working to reduce the medicines they were taking and adjusting how people spent their time because of changes in their needs.
The staff were kind, friendly and caring towards people. The provider had procedures to make sure only suitable staff were recruited. The staff were given an induction and training so that they understood how to provide good care. They took part in regular meetings, reflection sessions and appraisals with managers to make sure they were providing effective care.
People were safely cared for. The staff were familiar with safeguarding procedures and how to keep people safe. The environment was safe, clean and well maintained. The staff had assessed risks to people's safety and had plans to make sure these risks were minimised. Medicines were managed in a safe way and people were supported so they were not over medicated.
People had access to health services and were supported to stay healthy and active. They were involved in household tasks and planning and preparing food. They were offered a balanced diet which reflected their needs and preferences. 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 took part in a range of different leisure activities and were part of the local community.
The service was appropriately managed. People were able to raise concerns, and these were responded to. There were effective systems to audit the service and to make improvements.
The principles and values of Registering the Right Support and other best practice guidance ensure people with a learning disability and or autism who use a service can live as full a life as possible and achieve the best outcomes that include control, choice and independence. At this inspection the provider had ensured they were applied.
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.
Rating at last inspection – At the last inspection of 10 January 2017 the service was rated Good (published 26 January 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor intelligence 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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
LD Care – Moreton Avenue is a care home for two adults who have learning disabilities. At the time of the inspection there were two people living at the service. The service was managed by LD Care Limited, a private provider who ran this and two other care homes in the London Borough of Hounslow. Both people living at LD Care – Moreton Avenue had lived at the service for a number of years. They had close links with the people living in the other homes managed by LD Care Limited and regularly socialised with them.
At the last inspection, 4 November 2014, the service was rated Good.
At this inspection, 10 January 2017, we found the service remained Good.
Why the service is rated Good
People living at the service were happy there. Their relatives and other stakeholders were happy with the way in which the service was run.
People living at the home were protected from the risks of harm because the provider had appropriate procedures in place. The staff were aware of these and had training in order to help keep people safe. The environment was safely maintained and people received their medicines appropriately.
People's capacity to consent to their care had been assessed and the staff supported them to be involved in making decisions about their care. The provider had acted in accordance with their legal responsibilities in order to ensure decisions, which people did not have the capacity to consent to, were made in their best interest by those who knew them best.
The staff were appropriately trained and supported and were given opportunities to share their feedback and ideas about how well the service met people's needs. They were recruited in a safe way which ensured checks on their suitability were made before they started working with people.
People were able to make choices about the food they ate and they were supported to live a healthy life style. The staff monitored people's health and worked closely with other professionals to make sure health needs were being met.
The staff were kind, caring and considerate. They had positive relationships with the people who they were supporting.
People had access to a range of different leisure, social and educational opportunities both at home and in the community. The staff supported them to learn independent living skills and to do as much for themselves as they could.
The staff had assessed and recorded people's care needs. There were clear plans to describe the support each person needed and evidence that these plans were followed.
The service was appropriately managed. There were comprehensive systems for monitoring the quality of the service and making sure complaints were dealt with appropriately. The provider listened to and learnt from the feedback of others making changes and improving the service. Records were very well maintained. The care plans, risk assessments and records of care provided were of a high standard and clear and well thought out. These were regularly reviewed.
The service met or exceeded all the relevant fundamental standards we inspected and provided a positive, homely and forward thinking environment for the people who lived and worked there.
Further information is in the detailed findings below.
The inspection took place on 4 November 2014 and was unannounced.
LD Care - Moreton Avenue supports up to two people with a learning disability. The service is registered to provide accommodation and personal care. There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
We found that people were well cared for and their needs were met. The service was safe and there were appropriate safeguards in place to help protect the people who lived there. People were able to make choices about the way in which they were cared for and the staff listened to them and knew their needs well. The staff had the training and support they needed. Relatives of people living at the home and other professionals were happy with the service. There was evidence that the staff and managers at the home had been involved in reviewing and monitoring the quality of the service to make sure it improved.
People or their representatives were involved in identifying where they needed support and how this was to be provided. This was reflected in the care plans which detailed how people's needs were to be met by the staff.
Health and safety checks were carried out on the equipment used to support people, and on the environment to ensure the service was safe for people.
The staff received training to support people with their needs and to ensure that medicines were administered appropriately.
However, we found areas where the service did not ensure that people were kept safe. The care planning and risk management plans did not reflect all the needs of the person, and could put them at risk of inappropriate care.
Some equipment and areas of the home were a risk to people who use the service and the staff. For example, such as where equipment had not been tested and where staff did not have the right equipment to carry out health and safety checks.
The staffing levels could put people who use the service at risk of inappropriate care and support.