20 April 2023
During an inspection looking at part of the service
Station House provides care and support to up to 10 people with learning disabilities, and autistic people. The service is provided in a house, with an annex and a separate bungalow. At the time of our inspection there were 8 people using the service. The service also provides personal care to 1 person living in their own home .
People’s experience of using this service and what we found
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 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.
Right Support
The model of care and setting maximised people’s choice, control and independence. We received positive feedback from people and their relatives about the opportunities to engage in activities and interests. 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.
Right Care
The care and support was person-centred and promoted people’s dignity, privacy and human rights. People's care plans and risk assessments had been reviewed and updated to include the necessary detail. Day to day records reflected the personalised care, support and treatment people received.
Right Culture
The ethos, values, attitudes and behaviours of leaders and care staff helped to make sure people using the service led confident, inclusive and empowered lives. People and members of their staff team told us various refurbishment and building work had taken place and further work was planned, to improve and personalise people’s environment. However, we identified shortfalls in cleanliness in some areas and some radiators were not covered. The provider’s quality assurance processes had not identified these shortfalls.
We have also made recommendations to the provider regarding medicines management, staff recruitment and radiator covers.
The provider acted quickly to put measures in place to make the necessary improvements.
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 (published 9 October 2019).
Why we inspected
We received concerns in relation to the management and planning in relation to people’s personal care needs. As a result, we undertook a focused inspection to review the key questions of safe, and well-led only.
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.
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 good to requires improvement based on the findings of this inspection.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Station House on our website at www.cqc.org.uk.
Enforcement
We have identified breaches of regulation in relation to safe care and treatment and good governance at this inspection.
You can see what action we have asked the provider to take at the end of this full report.
Follow up
We have received an action plan from the provider to indicate what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.