Archived: Idelo Limited - 8 Courtenay Avenue

Updated 10 April 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team: The inspection team consisted of one inspector.

Service and service type:

Idelo Limited-8 Courtenay avenue is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

At the time of the inspection the service had two managers registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. One of the registered managers told us that they would be making an application to deregister as manager for this location but would continue as registered manager for another of the provider’s locations.

Notice of inspection:

This was a comprehensive inspection, which took place on 27 February 2019 and was unannounced.

What we did:

Before the inspection we looked at information we held about the service. This information included any statutory notifications that the provider had sent to the CQC. Statutory notifications include information about important events which the provider is required to send us by law. The provider had completed a Provider Information Return [PIR] in September 2018. The PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We used this, the previous inspection report and information from a recent quality check that was carried out by the host local authority to plan our inspection.

During the inspection we spoke with the both registered managers, three care workers and three people using the service. Following the inspection, we spoke with two relatives of people using the service.

We reviewed a variety of records which related to people's individual care and the running of the service. These records included care files of the three people using the service, four staff employment records and quality monitoring records.

Updated 10 April 2019

About the service:

Idelo Limited-8 Courtenay Avenue provides accommodation and personal care for three adults who have learning disabilities, some of whom live with mental health needs. At the time of the inspection three adults were living in the care home.

People’s experience of using this service:

The care home had been registered before Registering the Right Support and other best practice guidance had been developed. Registering the Right Support guidance focuses on values that include choice, inclusion and the promotion of people’s independence so that people living with learning disabilities and/or autism can live a life as ordinary as any other citizen. However, it was evident that people living in Idelo Limited-8 Courtenay Avenue were provided with the support that they needed to make decisions about their lives, develop their independence and to participate fully within the local community.

People using the service told us that they felt safe and staff were respectful and kind. They spoke of being happy living in the home and leading busy lives. People’s relatives were also positive about the staff and the service provided to people. They told us that staff understood people’s needs including their cultural and religious needs.

People's care and support plans were up to date and personalised. They included details about people’s individual needs and preferences and guidance for staff to follow so people received personalised care and support that met their individual needs and preferences.

Staff knew people well and had a caring approach to their work. They understood the importance of treating people with dignity, protecting people's privacy and respecting their differences and human rights.

People were protected from the risks of harm, abuse and discrimination. Staff knew what their responsibilities were in relation to keeping people safe.

Systems were in place to ensure that people received their prescribed medicines safely. Medicines training was provided to staff and their competence to administer medicines was assessed.

Staff had the skills and knowledge to provide people with the care and support that they needed. They received a range of training and the support that they needed to enable them to carry out their roles and responsibilities.

Staff understood their obligations regarding the Mental Capacity Act 2005 (MCA). People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People were supported to have choice and control over their day to day lives. Staff gained people's agreement before providing them with assistance with personal care and other activities.

People received the support they needed to stay healthy and to access healthcare services.

Staff encouraged and supported people to actively participate in activities, pursue their interests and to maintain relationships with people that mattered to them. People told us that they felt a part of their local community. A person told us that they used public transport and accessed a range of community facilities and amenities.

Rating at last inspection: Good. The report was published 25 October 2016. The service was rated good overall but was rated improvement in Safe. This was because some risk assessments had not been reviewed regularly, medicines training for staff was not consistently taking place and references for new staff had not always been followed up to confirm their authenticity. We found during this inspection that management had taken appropriate action to address these issues.

Why we inspected: This was a scheduled planned comprehensive inspection.

Follow up: We will continue to monitor the service through the information we receive.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk