We carried out a review of the data available to us about 10 Spennithorne Road 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 10 Spennithorne Road, you can give feedback on this service.
About the service
10 Spennithorne Road is a residential care home providing personal care to up to up to 4 people. The service provides support to people with a learning disability, all of whom have physical needs. At the time of our inspection there were 4 people using the service.
People’s experience of using this service and what we found
Right Support: The model of care and setting maximised people’s choice, control and independence. 10 Spennithorne Road is an ordinary bungalow which is in a quiet residential location whilst not being isolated. There were enough suitably qualified and experienced staff. They were well supported and had access to a range of training and information. There was good teamwork and communication. Staff felt supported by the registered manager. People received their medicines safely and in line with their prescriptions.
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.
Right Care: Staff knew people well and ensured they were supported with their social and care needs in a person-centred way. There was a warm and homely atmosphere where people’s individual preferences and lifestyles were respected. There were enough staff employed at the service to meet people's needs and people were protected from harm as staff were recruited in a safe way.
Right Culture: The service had an open positive atmosphere and was very much people's home. Staff had received training in understanding learning disabilities and autism and were knowledgeable about people's needs and preferences. Information was shared to ensure staff were up to date on current best practice. Staff understood the principles of person-centred care and placed people as the focus of what they did every day.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 8 February 2018).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
10 Spennithorne Road is a care home without nursing which is registered to provide a service for up to four people with profound learning disabilities, all of whom have physical needs. There were four people living in the service on the day of the visit. The accommodation is single storey and is light and spacious. All of the bedrooms are single and each has a sink. There is a communal kitchen and sitting area and a shared bathroom.
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 using the service were supported to live as ordinary a life as any citizen.
At the last inspection in 26 August 2015 the service was rated Good. At this inspection we found the service remained Good.
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 2008 and associated Regulations about how the service is run.
Staff responded to people's needs and went 'over and above' to ensure these needs were met. Behaviour management plans were detailed and included least restrictive interventions. All staff were enthusiastic about their role and the quality of care they provided. This meant that people who had previously challenged other services were being successfully supported by an outstanding responsive approach to their individual needs.
Staff lived the values of the provider and put people at the heart of everything they did. Staff were all clear that they worked as a team and for the benefit of the people living at 10 Spennithorne Road.
People were actively encouraged to be involved in all aspects of their care. Systems had been implemented to ensure people understood information relating to their care and that enabled people to be actively involved in reviewing their care plans with staff. Care plans were drawn up in an accessible format in line with the Accessible Information Standard.
The management team had control measures in place to maintain people's environmental safety. This included a variety of risk assessments and tools to safeguard them from potential hazards. Staff demonstrated a good awareness of how to protect people from potential harm or abuse.
The service remained safe. People's safety was contributed to by staff who had been trained in safeguarding vulnerable adults and health and safety policies and procedures. Staff understood how to protect people and who to alert if they had any concerns. General risks and risks related to the needs of individual people were identified and appropriate action was taken to reduce them.
Staffing levels were sufficient to meet people's needs. We found staff were recruited in a safe way; all checks were in place before they started work and they received an in-depth comprehensive induction. Staff were kind and caring and they knew about people's needs and preferences. We observed staff treated people with dignity and respect and it was clear they knew people well and their preferences for how they wished to be supported. This ensured people were fully involved in all decisions and were enabled to take control of their lives; staff gained consent before undertaking any support tasks.
There were positive and caring interactions between the staff and people. People were comfortable and at ease with the staff. Staff had a clear understanding of people's individual needs, preferences and routines. People were involved as fully as possible in decisions about the care and support they received. When people could not communicate verbally staff anticipated or interpreted what they wanted and responded quickly.
Medicines were stored securely and managed safely by staff assessed as competent to do so. Staff supported people to maintain their health and to access healthcare services when needed.
People's wide range of dietary needs and preferences were supported by the service.
Staff understood their responsibilities in relation to the Mental Capacity Act 2005 [MCA] and Deprivation of Liberty Safeguards [DoLS]. 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 involved in activities which they enjoyed. Planned activities took place regularly and there was guidance for staff on how best to encourage and support people to develop their interests, skills and hobbies. Staff supported people to achieve their personal goals.
Accidents and incidents were recorded and analysed for themes and patterns, and appropriate action was taken to reduce risks. Lessons had been learnt when things went wrong.
The service had a strong leadership presence with a registered manager who had a clear vision about the direction of the service. They were committed and passionate about the people they supported and were constantly looking for ways to improve. The home and the registered manager had significant support and guidance from the provider. Thorough and frequent quality assurance processes and audits ensured that all care and support was delivered in the safest and most effective way possible.
We found an open management culture, which enabled staff to raise concerns, discuss ideas and contribute to the development of the service. The provider had a clear strategic direction and was committed to providing a quality service to meet people's individual needs and minimise risks to health and safety. Quality assurance systems were used effectively to highlight areas requiring development and to drive continuous improvement in the service. The senior staff demonstrated strong values and a desire to learn about and implement best practice throughout the service.
We inspected 10 Spennithorne Road on 26 August 2015. We rang the registered manager the day before so they could let the people who lived there know we were coming. Our last inspection took place on 29 November 2013. At that time we found the service met the five standards we inspected against.
10 Spennithorne Road is a care home for four people with physical and learning disabilities, situated in Urmston. There is a parking area to the front of the building and an enclosed garden to the rear. The accommodation is single storey and is light and relatively spacious. All of the bedrooms are single and each has a sink. There is a communal kitchen and sitting area and a shared bathroom.
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 2008 and associated Regulations about how the service is run.
The registered manager had been at the home for nearly three years. Relatives told us that the staff team was very stable, which was very important for the people who lived at the home as well as for them.
There were enough staff on duty to meet people’s needs. Staff told us they felt supported by the manager and that training opportunities were good. Relatives we spoke with told us they liked the staff and had confidence in them.
We found the service was meeting the legal requirements relating to Deprivation of Liberty Safeguards (DoLS).
Due to their complex care needs it wasn’t possible for us to ask the people who lived at 10 Spennithorne Road how they felt about living there, so we asked their relatives. They told us that they felt their relatives were safe and well cared for. We saw that staff understood how to keep people safe and responded appropriately to situations when people were observed to become unsettled.
Relatives told us the meals were good and that staff at the home knew what the people who lived there liked and disliked. We saw that there was a relaxed atmosphere at meal times and people could eat when they wanted to.
On the day of our visit we saw people looked well cared for. We saw staff speaking calmly and respectfully to people who used the service. Staff demonstrated that they knew people’s individual characters, likes and dislikes.
Activities were planned for each of the people who lived at 10 Spennithorne Road based upon their personal preferences. Days out, trips to the shops and other activities were recorded in a diary. People were given options about where to spend their time, for example in the lounge, in their bedroom or in the kitchen/dining area. There was also a large enclosed garden which was accessible to the people who lived at the home.
We saw that there were detailed risk assessments and care plans in place for each of the people that lived at the home. These incorporated personal preferences, people’s life history and important information on how each person liked to communicate.
Relatives told us they were always made to feel welcome and could pop in whenever they liked. They also said that if they had any concerns or complaints they would feel able to take these up with the manager.
We saw there were systems in place to monitor the quality of the service. Staff supported the people using the service to input into the running of the home and relatives could feed back their views at house meetings and during care planning meetings.
People's needs were assessed and care and treatment was planned and delivered in line with their individual support plan.
Information was available to demonstrate that all staff had received appropriate safeguarding training and all staff we spoke with during our inspection visit understood the different types of abuse and what action they would take if they had any concerns.
We saw evidence to confirm that staff received appropriate training to enable them to carry out their job roles effectively and safely.
We found that the provider had appropriate systems to monitor the quality and standard of service being provided to people using the service.