We carried out a review of the data available to us about Toller 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 Toller Road, you can give feedback on this service.
Toller Road is a residential care home providing personal and nursing care for up to eight adults with a learning disability, autism and mental health difficulties. At the time of our inspection there were four people using the service. The service can support up to eight people .’
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 told us they felt safe. Systems and processes were in place to safeguard people from avoidable harm; and staff knew how to report any concerns of abuse. Staffing levels met people’s personalised care needs. Risks to people were managed effectively to mitigate risks identified. Staff followed good practice guidelines to prevent the spread of infection and gave people their medicines safely. There were systems in place to learn lessons when things went wrong. The home was clean, well maintained and tidy.
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 continuously asked people about their views and choices and these were documented.
Staff supported people to independently choose and cook their own meals, and healthy eating was promoted. Staff ensured people's healthcare needs were met. Staff were alert and responsive to any changes in people's needs and liaised with health care professionals. Staff received an induction before they started work with the service and specific training to meet people’s individual needs. Staff felt well supported by the management team and continued professional development was promoted and encouraged by the registered manager.
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.
Staff provided care and support in a caring and meaningful way. They knew the people who used the service well and had built up kind and compassionate relationships with them. One person told us, “Staff are like family.” Staff supported people to maintain relationships with family and friends and felt proud to support people in their decision to move onto supported living or live nearer to their relatives.
Quality assurance processes were robust to give oversight of the service. The registered manager and provider had ideas of how to continuously improve people's lives and valued working in partnership with others to achieve this.
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 (published14 September 2017).
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.
Toller Road is a residential home which provides care to people with learning disabilities and mental health needs. It is registered to provide care for up to eight people. At the time of our inspection there were seven people living at the service.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.
People continued to receive safe care. Staff had received appropriate adult safeguarding training and were, in the main, aware of their role and responsibilities to protect people from avoidable harm. Risks associated with people's individual needs had been assessed and plans were in place to mitigate any risks.
Staff underwent appropriate recruitment checks before they started their employment. Sufficient staff had been employed to meet people's individual needs. People were supported to receive their medicines safely.
People continued to receive effective care and support. Staff received an appropriate induction, ongoing training and opportunities to discuss and review their work, development and training needs.
The principles of The Mental Capacity Act 2005 had been applied where required. People were supported with any dietary and nutritional needs. They received support to maintain their health.
People continued to receive good care. People had developed positive relationships with staff who understood their needs. Staff were caring and they treated people with respect, kindness and dignity.
People continued to receive a service that was responsive to their individual needs. Staff had information available to support them to provide an individualised service based on people's needs, preferences and routines. The provider had a complaints policy and procedure and complaints were investigated. The service people received had been monitored to ensure it met people’s needs so that they could enjoy a meaningful and stimulating life.
We carried out our inspection on 18 March 2015 The inspection was unannounced.
The service provides accommodation for up to eight people. At the time of our inspection there were six people using the service.
Toller Road is a care home with nursing. It is a specialist service for adults with learning disabilities and complex needs (which may include mental health needs). The service offers care and rehabilitation for people to support them to move from hospital into the community.
The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People were satisfied with the care and support provided. They had key workers who they worked closely with in developing their care plans and they were treated with kindness and respect. They felt safe using the service and confident to raise concerns or issues if they had any. They also felt confident that staff would treat their concerns appropriately.
Staff understood the needs of the people using the service and were positive about their role and the organisation. Recruitment procedures were robust and appropriate checks were carried out before people started work. Staff received an induction and on going training to ensure they had the knowledge and skills to support people in their care. Staff also received regular supervision and appraisals to ensure their practice was monitored. The managers regularly monitored staffing levels to ensure they met people’s needs. However staffing levels were not always consistent and unexpected sickness caused issues particularly at the weekends.
People had their needs assessed and plans were in place to meet those assessed needs. People had their preferences and wishes taken into consideration and these were recorded in their plans. Risks were identified and recorded, plans were created to minimise the risk. People were supported to be as independent as possible; they were supported to access health care appointments as well as access community activities. People were offered choices of healthy and nutritious meals. People also had the opportunity to prepare meals and drinks independently if they wished. People’s medicines were managed and administered safely following risk assessments to promote independence where possible.
People’s consent had been appropriately obtained and recorded. Both staff and the registered manager understood the principles of the Mental Capacity Act and how they might apply to the people who used the service.
There were effective systems in place to assess and monitor the quality of the service. The views and opinions of people who used the service were obtained and used to inform future improvements within the service.