Background to this inspection
Updated
29 June 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection team consisted of one inspector and an expert by experience (ExE) who made phone calls to people and their relatives. An ExE is a person who has personal experience of using or caring for someone who uses this type of care service. The ExE had experience working with people with autism.
Service and service type: MCCH (Beckenham Road) provides care and support to people living in ‘supported living’ settings, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support. 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
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:
We gave the service 48 hours’ notice of the inspection visit because the manager is often out of the office. We needed to be sure that they would be in.
Inspection site visit activity started on 9 May 2019 and ended on 16 May 2019. We visited the office location on 9 and 16 May 2019 to see the manager and office staff; and to review care records and policies and procedures.
What we did:
Before inspection: We reviewed the information, the provider sent to us in the Provider Information Return (PIR). 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 also reviewed information we held about the service which included notifications of events and incidents at the service.
During inspection: We looked at five care files, four staff files, quality assurance reports and other records relating to the management of the service including incidents and accidents records. We spoke with two people using service, seven relatives, the registered manager, three team leaders and two care and support staff members.
Updated
29 June 2019
About the service: MCCH (Beckenham Road) is registered to provide personal care to people with a learning disability and autism to people in the community. At the time of our inspection, 25 people were using the service.
People’s experience of using this service:
There were enough staff available to safely support people with their needs. Staff managed people’s medicines in a safe way. Staff had received training in safeguarding adults and knew actions to take to protect people from abuse. Risks to people were assessed and management plans put in place to reduce the risk of harm to people. Staff reported incidents and accidents and the registered manager reviewed them. Lessons were identified and shared with staff to improve their learning. Staff followed infection control procedures to reduce risks of infection.
Staff assessed people’s needs following recommended guidance. People and their relatives were involved in assessing their needs. People were supported to have a healthy balanced diet. People were supported to meet their nutritional needs. Staff supported people to access health and social care services and to maintain good health and well-being. Staff liaised with other services to ensure people’s care and support were effectively planned and delivered.
Staff were supported to be effective in their roles. Staff received an induction when they first started; and received regular training, supervisions and annual appraisals. Staff and the registered manager understood their roles and responsibilities under the Mental Capacity Act (MCA) 2005. 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 support this practice. People consented to their care before they were delivered.
In line with the principles of Registering the Right Support, people were placed at the centre of the support provided to them. People were given choice and control over their day-to-day care and support. Care and support were planned to achieve positive outcomes for them and to promote their independence. Staff worked with people to develop skills of daily living.
Staff supported people with their emotional needs. Staff understood what made people anxious and distressed and knew how to support them cope with these. Staff treated people with dignity and respect. Staff encouraged and supported people to maintain relationships which mattered to them. Staff communicated with people in the way they understood, and people were presented with information in formats they understood.
People had support plans in place which set out their individual needs and how these should be met. People’s needs, and support plans were reviewed and updated regularly to reflect their current needs. People were encouraged to follow their interests and to be involved and active in the community. Staff treated people as individuals and promoted their religious, cultural beliefs and other protected characteristics.
There was a complaints procedure in place which was accessible to people. People and their relatives told us they knew how to complain if they were unsatisfied with the service. The quality of the service was monitored and assessed so improvements could be made. The provider worked in partnership with other organisations to develop the service. Staff told us that they felt supported and had the guidance they needed. The registered manager met their statutory responsibilities to the CQC.
Rating at last inspection: This was the first inspection of the service since they registered this location with the CQC in April 2018.
Why we inspected: This was a planned inspection based on our guidance about newly registered services.
Follow up: We will continue to review information we receive about the service until we return to visit as part of our re-inspection programme. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk