14 December 2022
During a routine inspection
Alne Hall Care Home with Nursing Physical Disabilities is a residential care home providing personal and nursing care to older people and young adults with physical disabilities, learning disabilities and autism. The service can support up to 30 people in one adapted building. At the time of our inspection, 30 people were 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.
We considered this guidance as there were people using the service who have a learning disability and/or, who are autistic.
People’s experience of using this service and what we found
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.
People received their medicines safely as prescribed by suitably trained staff. Some records required updating to ensure guidance reflected best practice. For example, for staff to follow when supporting people to take their medicines on food to aid swallowing.
Right support: 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.
People received initial assessments of their needs with care plans in place to manage known risks. People's care plans and risk assessments reflected their needs and preferences and staff were knowledgeable about the level of support people required. Care plans benefitted from an enhanced review process to ensure information remained up to date as an accessible point of reference for staff.
Right care: Care was person-centred and promoted people's dignity, privacy and human rights;
People told us staff were respectful, caring and understanding around their emotional and physical needs.
People were involved in planning their care and support. Care was delivered following a robust assessment of needs to ensure people’s wishes preferences and any personal characteristics were recorded and supported.
People were supported safely by enough suitably trained and recruited staff. Some staff supervisions and appraisals had been completed in line with policy and staff were benefitting from new processes to improve this area of support.
Right culture: The ethos, values, attitudes and behaviours of leaders and care staff ensured people using services led confident, inclusive and empowered lives; The culture of the service was open and empowered individuals to express their views and be in control of their lives with the support of staff. People told us they felt confident to approach the management team and that their suggestions would be listened to.
A range of quality assurance checks including regular audits were completed to manage and improve the service and to maintain compliance with required regulations.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was good (published 9 October 2020).
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.
Recommendations
We recommend the provider reviews the latest medicines guidance to ensure records used as a point of reference by staff follow best practice.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.