Background to this inspection
Updated
6 August 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 was carried out by one inspector.
Service and service type
Kellys Place is a residential ‘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.
The service had a manager registered with the CQC. 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 five days’ notice of the inspection. This was because it is a small service and we needed to be sure that the registered manager would be available to support the inspection. Inspection activity started on 17 June 2019 and we visited the location on 18 June 2019.
What we did before the inspection
We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return before 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 one person who used the service, two people’s relatives and two professionals about their experience of the care provided. We spoke with the registered manager, operations manager and two members of care staff.
We looked at two people's care records. This included medication administration records and people's daily notes. We looked at two staff's recruitment, induction, training and supervision records as well as other records relating to the management of the service.
Updated
6 August 2019
About the service
Kellys Place provides care and support for people who may be living with a learning disability or autistic spectrum disorder. The service is registered to support up to two people for short-term periods of respite (up to 28 days at a time) to give their families or carers a break from their caring roles.
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.
People’s experience of using this service and what we found
People received safe and effective care and support in a service which had been specifically designed and organised to meet their needs.
People’s needs were assessed and staff worked hard to provide person-centred care to help people feel comfortable and at home at the service during their respite stays.
People had a dedicated team of staff who had been trained to meet their needs. Staff understood how to identify risks and safeguarding concerns and respond to these to keep people safe and prevent avoidable harm.
Medicines were managed safely; management took very positive steps to make sure lessons were learnt and improvements made if things went wrong.
People staying at the service were encouraged and supported to take part in activities and to do the things they enjoyed. Staff worked closely with people’s families to make sure they understood and could meet people’s needs; they shared information to help people move between their home and the respite service.
Staff were caring. They treated people with dignity and respected their privacy. Staff understood people’s communication needs and used accessible information to help make sure people’s wishes and views were known.
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.
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 provider and registered manager were committed to providing high-quality and person-centred care. They were responsive to feedback and used audits to continually monitor and improve the service. Staff praised the communication, leadership and support they received.
For more details, please see the full report which is on the Care Quality Commission’s (CQC) website at www.cqc.org.uk.
Rating at last inspection
This service was registered with us on 18 June 2018 and this was the first inspection.
Why we inspected
This was a planned inspection based on when the service was registered.
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.