Cleveland Road

Updated 19 November 2021

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 Care Act 2014.

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 was carried out by two inspectors who visited the service. An Expert by Experience made telephone calls to people’s relatives or representatives to gather their feedback. 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

Cleveland Road 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 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. The registered manager was unavailable on the day of our inspection.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service. We also contacted Healthwatch for their feedback. 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 all of this information to plan our inspection.

During the inspection

We spoke with eight people who lived in the home, one person who was visiting and five relatives. We also spoke with the senior support officer and three members of care staff as well as the registered manager following the inspection. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included two people’s care records in full and another for specific information, as well as multiple medication records. We looked at the recruitment of three staff members as well as staff supervision records. A variety of records relating to the management of the service were reviewed.

After the inspection

We spoke with the registered manager and requested various records. We continued to seek clarification from the provider to validate evidence found. We looked at training data, as well as care and quality assurance records.

Updated 19 November 2021

About the service

Cleveland Road is a residential care home providing accommodation and support to up to 13 people. At the time of our inspection, eight people were living in the home.

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.

The service was able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture. People were empowered through choices offered by staff and they were supported to make decisions for themselves with support from staff. Care was individualised and recorded in a person-centred way. There was a positive culture in the service which came from leaders and was adopted by staff.

Right support:

• Model of care and setting maximises people’s choice, control and independence

Right care:

• Care is person-centred and promotes people’s dignity, privacy and human rights

Right culture:

• Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives

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.

Risks to people were largely well managed. We identified a risk to one person which has been dealt with appropriately following our inspection. Infection control measures were found to be effective.

Medicines were appropriately managed and we found some people were being carefully supported to become more independent with managing their own medicines.

We identified one worker who had not received an induction. This was being dealt with by the registered manager. Staff received ongoing support which they said helped their development. There were sufficient numbers of staff who had been safely recruited to work in the home.

People received timely access to healthcare when this was needed and we saw where the provider had established wider links with partners to ensure a positive outcome for one person. People were at the centre of their meal planning and told us they enjoyed the food provided.

Staff were seen to be caring in their interactions. We discussed one interaction of concern with the registered manager and found this was suitably dealt with. People and relatives gave positive feedback about the staff. Staff respected people’s privacy and dignity.

People were engaged with activities taking place both inside and outside the home. A suitable system for managing complaints was seen.

Systems in place to ensure there was oversight of the home were effective. People and relatives felt the home was well-led. Feedback was sought from people and relatives and this was seen to be positive. Regular meetings for both people and staff were taking place.

Care records were detailed and contained information for staff to understand people’s needs and preferences.

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 4 January 2019).

Why we inspected

This was a planned inspection based on the previous rating.

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.

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.