12 Collett Close

About the service

12 Collett Close is a residential care home providing accommodation and personal care to three people at the time of the inspection. The service can support up to four people.

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

Right Support. The provider had not always explored the gaps applicant’s employment history and education before their employment. Oversight of service delivery was still being embedded. The staff supported people to have the maximum possible choice, control and independence and they had control over their own lives. Staff focused on people’s strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life. Staff supported people to take part in activities and pursue their interests in their local area and to interact online with people who had shared interests. Staff supported people to make decisions following best practice in decision-making. Staff communicated with people in ways that met their needs. Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome. Staff supported people to play an active role in maintaining their own health and wellbeing.

Right Care. Staff and people cooperated to assess risks people might face. People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs. Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it. The service had enough appropriately skilled staff to meet people’s needs and keep them safe. People’s care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life. People could take part in activities and pursue interests that were tailored to them. The service gave people opportunities to try new activities that enhanced and enriched their lives.

Right culture. People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff supported this. People received good quality care, support and treatment because trained staff and specialists could meet their needs and wishes. Staff placed people’s wishes, needs and rights at the heart of everything they did. People and those important to them were involved in planning their care. The service enabled people and those important to them to work with staff to develop the service. People’s quality of life was enhanced by the service’s culture of improvement and inclusivity.

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 inadequate (published 14 September 2021). The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

This service has been in Special Measures since 14 September 2021. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 14 September 2021. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, employment of fit and proper persons and good governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from inadequate to requires improvement. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for 12 Collett Close on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

12 Collett Close is a care home. The home accommodates up to four people in one adapted building. People have their own rooms and access to communal spaces. At the time of the inspection there were two people residing at 12 Collett Close.

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

Fire safety measures were inadequate placing people at risk of harm. Systems in place to monitor fire safety had failed to identify this. Staff had not been recruited safely, effective risk assessments had not been completed for staff before or after had they started work.

Medicines were not always managed safely. Infection prevention control measures relating to Covid-19 were not always sufficient, placing people at risk.

People had not always been consulted about their care and care plans lacked detail. People sometimes had a preference to approach the registered manager for support when distressed rather than the care staff, this meant that learning opportunities for care staff were less available and the care approach may not feel consistent for people.

Although systems to assess safety and quality were not adequate to keep people safe and ensure consistent and effective care, people told us that they felt safe and supported. We saw that they found the registered manager to be approachable and shared concerns with them.

People told us that they felt safe but were not always protected by effective risk management and oversight.

Staff had received training relevant to their role. People chose how they wanted to spend their time during the day. Health professionals were involved in peoples care.

People were not always 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 did not always support this practice.

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.

This service was not able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture. Support plans lacked detail and updates and were not always completed in consultation with people to maximise their choices, control and independence. Care was not always person centred. Improvements were needed to help people have as much inclusion in decision making as possible.

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 13 January 2020 and this is the first inspection.

Why we inspected

This was the first inspection for this newly registered 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.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to keeping people safe from known risks, employment practices and management of quality and safety checks at this inspection.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

The overall rating for this service is ‘Inadequate’ and the service is therefore in ‘special measures’. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within 6 months to check for significant improvements.

If the provider has not made enough improvement within this timeframe. And there is still a rating of inadequate for any key question or overall rating, we will take action in line with our enforcement procedures. This will mean we will begin the process of preventing the provider from operating this service. This will usually lead to cancellation of their registration or to varying the conditions the registration.

For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it. And it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.