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Elysium Care Partnerships Limited - 1a Upper Brighton Road Outstanding

Reports


Inspection carried out on 4 February 2021

During an inspection looking at part of the service

Elysium Care Partnerships Limited - 1a Upper Brighton Road is a residential care home that can accommodate and provide personal care and support to nine people. The service caters for younger adults with learning disabilities or autism spectrum disorder. At the time of our inspection nine people were living at the care home.

We found the following examples of good practice.

There were suitably robust measures in place to help prevent or minimise the risk of relatives and friends, professionals and others who visited the care home from catching or spreading infections.

Access to the care home was being restricted for non-essential visitors. Alternative arrangements were in place to help people maintain social contact with their relatives and friends including, phone and video calls. All essential visitors to the care home had to pre-arrange their planned visit and on arrival were required to have a COVID-19 test if they had not been tested recently, wash and sanitize their hands and wear appropriate Personal Protective Equipment (PPE).

There were suitable arrangements in place to ensure people who had stayed overnight in another setting, such as a hospital or in their family home, were tested for COVID-19 on their return to the service and required to self-isolate in their bedroom for at least 14 days. People living in the care home who had tested positive for COVID-19 or showed signs of being symptomatic were also required to self-isolate in their bedroom for a minimum of 14 days.

Staff used PPE in accordance with current recognised best infection prevention and control (IPC) practice. We saw managers and staff wore their PPE correctly throughout our inspection. Managers told us staff were required to wear a face mask, a plastic apron and gloves when they provided people with any personal care. Staff had received up to date external and internal training from the local NHS Clinical Commissioning Group (CCG) and their employer in relation to the latest IPC guidance including, the safe use of PPE and how to undertake COVID-19 tests safely for people with learning disability or autism. The service had adequate supplies of PPE.

The care home was clean. There were detailed records kept of staffs new cleaning schedules, which included a rolling programme of continuously cleaning high touch surfaces, such as light switches, grab rails and door handles. Managers told us staff were now required to clean these areas at least two-hourly. People’s bedrooms and the main communal areas including the lounge, kitchen and laundry room, were all subject to regular enhanced cleaning.

The provider had thoroughly assessed and mitigated infection risks to everyone living and working in the care home who were deemed to be in high risk groups. This included people with learning disabilities or autism and black, Asian and minority ethnic (BAME) members of staff. Managers told us they had taken risks they had identified into consideration and gave us a good example of how they had made reasonable adjustments by ensuring staff who had not yet received a COVID-19 vaccination did not provide any personal care to people who were self-isolating and/or had tested positive for COVID-19.

The service did not currently use any temporary agency staff. Managers were aware of good practice in relation to staff only working in one care setting at the moment to reduce the risk of spreading infection. For example, bank staff who had previously worked in multiple care homes run by this provider were no longer permitted to do this and were required to choose which Elysium Care Partnerships Limited service they preferred to work in during the pandemic. To help staff stay safe and socially distanced during staff meetings and shift handovers, staff met in a large communal lounge, which was spacious enough to allow people to stand at least two meters apart.

A ‘whole home testing’ regime was being operated at the service. This ensured people liv

Inspection carried out on 21 September 2018

During a routine inspection

This was an unannounced inspection that took place on 21, 26 and 28 September 2018.

1a Upper Brighton Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The home provides care for up to nine young people including people with learning disabilities or autistic spectrum disorder. It is located in the Surbiton area of Surrey.

The service had a registered manager. 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 and associated Regulations about how the service is run.

The care 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 autism using the service can live as ordinary a life as any citizen.

This was the first inspection since the service was registered.

The home provided a service for younger adults with learning disabilities or an autistic spectrum disorder. They had moved from residential schools, other care home placements or parental homes where their support needs were no longer being fully met. Their lives were massively impacted in a positive way by the move which was reflected in their progress, personal achievements and opportunities to try new experiences.

The young people benefited from a wide and varied range of activities, in the community, at home and further afield. They selected them with patient, painstaking support by staff that enabled them to do things that were focussed on their individual interests and likes. Whilst people could not comment verbally on the activities their body language showed us they were enjoying them with lots of smiling, laughter and enthusiasm. The impact of this was that people thoroughly enjoyed their activities and developed bonds and friendships, through them, with staff, each other and others.

The positive impact the home had on the young people was also demonstrated by a

substantial reduction of incidents and situations where people may display behaviour that others could interpret as challenging. Where people displayed anxiety or anger through aggressive behaviour, staff were on hand and knew how to defuse situations. They understood that this was an expression of people's needs, emotions, feelings and an attempt to communicate them. Staff turned people’s negative behaviour and frustrations into positives by calming the situation, finding out what was wrong or what people wanted and addressing their needs. They achieved this by having a thorough knowledge of each person and their likes and dislikes based on trial and error and growing positive relationships and bonds with them.

Due to people having limited verbal communication relatives generally spoke on their behalf. Relatives felt the home provided a warm, welcoming and friendly atmosphere and that staff treated the young people's safety as paramount. This was whilst still acknowledging that people must be enabled to try new experiences and take opportunities by taking acceptable risks. Staff weighed up the benefits of the activity with the young person in relation to the risks involved. This was reflected in the number of new experiences and activities people safely had whilst continuing with those that they previously enjoyed. It meant people received a service that was individual to them. The service and activities were flexible and changed with them as their needs changed and skills and confidence developed, resulting in more fulfilling and enjoyable lives. Staff also thought the h