24 December 2019
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.
The inspection was carried out by one inspector.
Service and service type
Zeno Limited 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.
Notice of inspection
This inspection was announced. We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be available to support the inspection.
What we did before inspection
We reviewed information we had received about the service. We used information we had received through our ongoing monitoring of the service and feedback we received from the local authority. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with two people living at Zeno Limited and two people's relatives about their experience of the care provided. We spoke with five members of staff including, the registered manager, deputy manager, service manager and two care staff. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed records relating to the care people were receiving and the management of a care home. This included, two care plans, training and supervision records, audits, medicines, records of servicing and maintenance and a sample of policies and procedures.
24 December 2019
About the service
Zeno Limited is a residential care home that provides accommodation and personal care support for up to seven people who have a learning disability and/or autistic spectrum disorder. At the time of our inspection there were three people living at the service. The service provided a 12-week bespoke rapid review and resettlement service. The service focused on developing person centred strategies that supported people to improve their quality of life and reduce behaviours that challenge others.
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 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.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
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.
People’s experience of using this service and what we found
People were supported safely and protected from harm. Risks associated with people's care needs were assessed, planned for and monitored. Staff were knowledgeable about risks and had detailed guidance on the action required to manage and reduce risks.
Medicines were managed and stored safely. The service was clean and care staff followed good infection control practices to minimise the risk of infection.
Staff were recruited safely and had the appropriate skills and knowledge to deliver care and support to people in a person-centred way. There were no set meal times, people planned their own meal times in accordance with their own daily planner. Where needed, people were supported with their eating and drinking needs.
People were supported to have maximum choice and control of their lives and staff provided them with care in the least restrictive way possible and acted in their best interests; the policies and systems in the service encouraged this practice.
Care and support were planned and delivered in line with best practice and assessments of needs were comprehensive. Staff worked collaboratively across services to understand and meet people's needs. People’s health needs were identified, and action taken by staff to address any concerns.
Checks of safety of the building were carried out to ensure people were protected from harm. During the inspection the management team were proactive at ensuring external contractors completed robust legionella and fire risk assessments.
There was strong leadership and oversight within the service. People's relatives, staff and professionals spoke positively about the management of the service. Quality assurance systems were effective to check people were receiving care that was of high quality.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This is the first inspection of this service which registered with CQC on 25 October 2018.
Why we inspected
This was a planned inspection based on the date the service first registered with CQC. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.