About the service The Tobias Centre is a residential care service providing the regulated activity of personal care to up to maximum of seven people. The service provides support to people with a learning disability and/or autism. At the time of our inspection there were six people using the service.
The Tobias Centre is an adapted building and contains two apartments in the basement floor along with individual apartments for other people on the other floors. There are communal rooms that provide sufficient space for people to spend time alone with the support of staff if they wish.
People’s experience of using this service and what we found
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.
Based on our review of Safe and Well-led the service was able to demonstrate how they were meeting the underpinning principles of Right support, Right care, Right culture.
Right Support
People were supported to have control of their daily lives and staff supported people to live as independently as possible. Staff supported people to take part in activities they enjoyed, within and outside the home. People’s medicines were managed safely. People’s risks were managed to ensure they were kept safe whilst promoting independence.
People received care and support from skilled and knowledgeable staff who were able to meet people’s needs and keep them safe. People were supported to access health and social care services when they needed them. 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
Staff knew people well and ensured they received the care and support they needed to keep them safe and to meet their individual needs.
Right Culture
Staff engaged with people in a respectful way and understood how to protect people from poor care and abuse. The manager was available and visible to people, their relatives and staff which promoted an open, inclusive and empowering culture.
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 'Requires Improvement' (published 13 August 2019) and there was a breach of regulation. 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.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
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 Requires improvement to Good. This is based on the findings at this inspection.
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.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Tobias Centre 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.