Background to this inspection
Updated
7 April 2020
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 Care Act 2014.
Inspection team
This inspection was carried out by one inspector.
Service and service type
Stourbridge House respite is a 'care home' providing short break services for people. 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 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
This inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a provider information return prior to 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 the registered manager, two members of staff and two relatives and one healthcare professional. We looked at two people’s care records and medicines records, records of accidents, incidents, and complaints received by the service. We looked at recruitment records, staff supervision, training matrix, safeguarding’s and policies and procedures. We were unable to talk with people, so we approached family members to understand their experiences of care.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
7 April 2020
About the service
Stourbridge House respite is a residential care home providing personal and nursing care for up to six people aged 13 to 65 years. The service provides short break care, normally overnight and weekend care, only for people with learning disabilities or autistic spectrum disorder, physical disabilities and sensory Impairment. At the time of inspection, the service was supporting two people with respite care.
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’s risks were reviewed with people and their relatives. Comprehensive risk assessments were then put in place to mitigate the risks. Care records contained details of the care and support people required. Relatives told us they felt loved ones were safe at the service.
Controlled medicines were not routinely signed in to the controlled medicines book by the required two members of staff.
The service supported people with their independent living skills, where people would undertake an ASDAN (Award scheme development and accreditation network). This included people learning to make a drink or packed lunch by themselves.
The service had a new sensory room, where there was furniture, sensory room lighting and sensory room equipment for people. The service had a sensory shower which had a sensory light for people to use.
All relatives felt that staff were caring and treated their family members with dignity and respect.
Peoples care files contained a communication care plan and emotional behaviour care plan, that detailed people’s personal preferences and needs when communicating. Relatives confirmed people’s communication needs were met by the service.
The quality of the service was monitored through robust governance processes, where the registered manager completed comprehensive weekly and monthly audits to ensure the safe delivery of 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.
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
This service was registered with us on 01/04/2019 and this is the first inspection.
Why we inspected
This was a planned inspection based on our published timescales.
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.