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Archived: Choice Support - 18 Vartry Road

Overall: Good read more about inspection ratings

18 Vartry Road, London, N15 6PT (020) 7261 4100

Provided and run by:
Choice Support

Important: The provider of this service changed. See old profile
Important: The provider of this service changed. See new profile

All Inspections

9 December 2021

During a routine inspection

About the service

Choice Support – 18 Vartry Road is a residential care home providing personal care to four people at the time of the inspection. The service can support up to four people with a learning disability and autism.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right support:

The model of care and setting maximised people’s choice, control and independence. People had access to the local community and amenities. Staff supported people to make choices about their daily lives and engage in activities, that were tailored to their individual needs and promoted their independence. People were supported to maintain and develop relationships.

Right care:

People received good quality person-centred care that promoted their dignity, privacy and human rights. There was a strong person-centred culture within the staff team. Positive behaviour support plans had been developed for people, to help staff understand the reasons for their behaviour, and provide guidance to ensure consistent approaches were used when supporting people. Staff knew people well and demonstrated an understanding of people’s individual care, behavioural and communication needs. This helped ensure people people’s views were heard and their diverse needs met.

Right culture:

The ethos, values, and attitudes of management and care staff ensured people led confident, inclusive and empowered lives. Staff created an environment that inspired people to understand and achieve their goals and ambitions.

People’s experience of using this service and what we found

People were protected from the risk of abuse. People told us they felt safe in the service. Risks to people's safety were managed. Staff were recruited safely. People received their prescribed medicines and medicines were managed safely. The service was clean and hygienic. The provider ensured there was infection control guidance in place. Staff confirmed they were provided with enough personal protective equipment such as masks and gloves.

People's needs were assessed before they moved into the service. Staff had been trained and had the necessary skills and experience to support people. People were supported to eat and drink enough to maintain a balanced diet. People had access to health services. The service worked closely with health professionals to monitor people's physical and mental health.

People were treated with kindness and their privacy was respected by staff. People were enabled and encouraged to express their views and were involved in making decisions about their support. This included reviewing their care plans or deciding what activities to take part in.

People received personalised care to ensure their needs and preferences were met. People were given information in a way they could understand. Staff knew people well and knew how to communicate with them. People were supported and encouraged to maintain relationships with their relatives.

The registered manager had a clear vision about the service and support they offered to people. A range of audits were completed to ensure good quality services. People, staff and relatives were asked for feedback about the service.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (Published 3 March 2020).

Why we inspected

We undertook this inspection as part of a random selection of services rated Good and Outstanding to test the reliability of our new monitoring approach.

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 until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

16 January 2020

During a routine inspection

About the service

Choice Support – 18 Vartry Road is a residential care home providing personal care to three people at the time of the inspection. The service can support up to four people with a learning disability and autism.

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.

People’s experience of using this service and what we found

People who could speak to us told us they felt safe. Risks were managed and reviewed to ensure people were safe from the risk of harm and able to live in the least restrictive way. Medicines were managed safely, and staff were trained in their safe administration. Recruitment checks were in place to ensure staff were suitable and safe to work at the home.

The service was clean and free from malodour. The risk of infection was reduced as staff followed safe hygiene practices.

Staff received training to make them effective in their role and regular support from the registered manager.

People’s health and well-being was monitored and managed. Staff supported people to attend appointments with health professionals and health screening schemes. People were provided with a varied and healthy diet and were encouraged to make healthy food and drink choices.

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.

Staff were kind, understanding, and compassionate. People had good relationships with staff and relatives told us staff were kind and caring. Staff were non-discriminatory towards people in the home and treated them with dignity and respect.

People were supported by a registered manager and staff who knew people’s personal and individual needs well. Relatives told us the care was personalised for their family member. People’s communication needs were met.

End of life wishes were documented. Complaints and compliments were recorded and used to help improve the service.

Staff told us they had good support from the registered manager and deputy manager. Quality assurance systems were effective and helped the registered manager and other managers monitor the quality of care people received and make improvements where needed.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was requires improvement (published 18 September 2018). Since this rating was awarded the registered provider of the service has altered its legal entity. We have used the previous rating to inform our planning and decisions about the rating at this inspection. This service was registered with us on 28/01/2019 and this is their first inspection as a newly registered service.

Why we inspected

This was a planned inspection based on the previous rating.

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.