We carried out a review of the data available to us about 44 Newbold 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 44 Newbold Road, you can give feedback on this service.
44 Newbold Road is a small residential home providing personal care to younger adults, with autism, and/or learning disabilities. 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/or 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 was based in a large house which currently supported two people with an additional flat attached to the property which accommodated one person. The location is registered to support nine people. Three people were using the service at the time of our inspection. The home was in a residential area with no distinctive features to indicate it was a care home.
People’s experience of using this service and what we found
People were safe, and staff understood how to raise a safeguard or how to protect people from the risk of infection. The provider assessed and managed risks to people, producing personalised risk management plans that allowed people to take positive risks while protecting them from harm. When things went wrong, they had learned from this to improve risk management plans. There were sufficient staff, and all had been recruited safely with checks in relation to references and criminal records. Medicines were managed safely.
Staff had received training for their role and understood current guidance on care for people’s conditions. People were supported to make choices for their meals and their nutritional needs were considered. Health care needs were reviewed, and action taken to promote people’s wellbeing. This reflected all aspects of health including oral healthcare.
People’s views had been obtained to encourage or drive improvements. There was a homely atmosphere and people were able to decorate and enjoy their environment as they wished. People had established positive relationships and told us they felt staff were caring. Respect was shown to people and their dignity maintained. Information was stored securely and confidentially.
The care plans were detailed and had been reviewed to ensure any changes were documented and shared with the staff team. Communication methods used were suitable for each individual.
We have made a recommendation about recording people's preferences around end of life care. This is best practice in case a person using the service dies suddenly.
The registered manager made sure staff were well supported and aware of their responsibilities. The provider used audits effectively, to reflect on any actions or trends. There was a complaints policy in place. The provider had sent us notifications about significant events and their outcome following their investigation and actions.
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 consistently 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.
The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in care settings that provide care for people with, or who might have mental health problems, learning disabilities or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers for improvement.
As part of thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people. The service used some restrictive intervention practices as a last resort, in a person-centred way, in line with positive behaviour support principles.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 03/12/2018 and this is their first inspection.
Why we inspected
This was a planned inspection.
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.