Background to this inspection
Updated
5 July 2022
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 Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
This inspection took place on 11 and 16 May 2022. The first day of our inspection was carried out by one inspector and a specialist advisor, who was a learning disability nurse. The second day of our inspection was carried out by one inspector. An Expert by Experience carried out phone calls to relatives. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Salisbury House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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 who was in the process of registering with the Care Quality Commission. This means that they (once registered) 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 inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority, the local clinical commissioning group and Healthwatch about the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We made observations of people and how they expressed themselves through their facial expressions and body language. Not everyone living at the service was able to talk with us, and used different ways of communicating, including body language and signs. We spoke informally with one person, though didn't ask specific questions about their experience of life at Salisbury House.
We spoke with four relatives about their experience of the care provided. We spoke with five members of staff including the manager and provider’s area manager.
We reviewed a range of records. This included three people’s care records and their medication records. We looked at two staff files in relation to recruitment and staff supervision.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. A variety of records relating to the management of the service, including policies and procedures were also reviewed.
We received feedback from two health and social care professionals.
Updated
5 July 2022
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.
About the service
Salisbury House is a residential care home providing personal care to three people at the time of the inspection. The service can support up to six people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
People’s experience of using this service and what we found
Right Support
The service supported people to have the maximum possible choice, control and independence
be independent and they had control over their own lives.
People were supported by staff to pursue their interests, take part in activities and be active in their local area.
Staff enabled people to access specialist health and social care support in the community and play an active role in maintaining their own health and wellbeing.
Staff communicated with people in ways that met their needs.
People and their family members told us they were happy with the care they received and felt safe.
Right Care
People received kind and compassionate care. Staff protected and respected people's privacy and dignity. They understood and responded to people’s individual needs.
The service had enough appropriately skilled staff to meet people's needs and keep them safe.
People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs.
People who had individual ways of communicating, using body language, sounds and pictures could interact comfortably with staff and others involved in their care and support because staff had the necessary skills to understand them.
Right culture
People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff.
People received good quality care and support because staff could meet their needs and wishes.
People were supported by staff who understood best practice in relation to the wide range of strengths or sensitivities of people with a learning disability and/or autistic people may have. This meant people received compassionate and empowering care that was tailored to their needs.
Staff placed people's wishes, needs and rights at the heart of everything they did. People and relatives were involved in planning their care.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This service was registered with us on 4 December 2020 and this is the first inspection.
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support right care right culture.
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 have made a recommendation about training.
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.