Background to this inspection
Updated
24 June 2022
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. 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 Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Coleshill Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and we looked at both during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 72 hours notice of the inspection. This was because it is a small service and we needed to be sure that a member of staff would be available to support the inspection.
What we did before the inspection
We used the information the provider sent us in the provider information return. This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.
We used information gathered as part of monitoring activity that took place on 28 March 2022 to help plan the inspection and inform our judgements. We used all of this information to plan our inspection.
During the inspection
Inspection activity started on 30th May 2022 and ended on 31st May 2022. We visited the location’s service on 30th May 2022.
We spoke with one person and two relatives about their experience of the care provided. We spoke with three members of staff including the registered manager, senior staff and care staff and carried out general observations of staff interacting with people. We reviewed a range of records. This included two people’s care plans and medicines records in detail. We looked at staff files in relation to recruitment and staff support. A variety of records relating to the management of the service, including policies and procedures were reviewed. We carried out general observations of the interactions between people and staff.
Updated
24 June 2022
About the service
Coleshill Road is a residential care home providing personal care to up to four people. The service provides support to people with a learning disability. At the time of our inspection there were two people using the service.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
Right support
The model of care supported people to live as independently as possible with the right support. Staff focussed on people’s strengths which promoted independence and allowed people to set their own goals and follow activities and interests as they wanted to.
Staff understood how to keep people safe. Risk relating to people was well managed with person centred support. Medicines were administered safely in line with guidance and good practice. The home had enough staff with the right skills to support people. Staff wore personal protective equipment in line with government guidance.
Right Care
People received care, which was kind, compassionate and personalised to their needs. Staff were skilled and understood what they needed to do to keep people safe.
The registered manager and staff had good knowledge and understanding of the people they worked with to ensure care was safe and delivered in an inclusive and supportive environment.
Right culture
People received care which was inclusive and directed by them. Staff knew and understood people well and put their needs at the heart of the support they provided. Staff ensured people were involved in their care plans and that they promoted people’s right to independence and choice.
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 provider had policies and procedures in place for the registered manager to use to continually review, monitor and make improvements to the home.
For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection and update
At our last inspection we found a breach of regulation 12 in relation to the way people’s individual risks were managed. The provider completed an action plan after the last inspection to tell us what they would do and by when to improve.
At this inspection we found improvements had been made and the provider was now meeting this regulation.
Why we inspected
This inspection was prompted by a review of the information we held about this service. We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.