Background to this inspection
Updated
14 March 2020
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.
Inspection team
This inspection was carried out by one inspector.
Service and service type
Just Homes, Douglas Close 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.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used all of this information to plan our 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.
During the inspection
We spoke with two people who used the service about their experience of the care provided. We spoke with three members of staff.
We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were renewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We also spoke with an advocate of a person who used the service about their experience of the care provided.
Updated
14 March 2020
About the service
Douglas Close is a small residential care home providing personal care to three adults at the time of the inspection. The service can support up to three people.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
People told us that the service they received was “above and beyond” what they ever expected when they moved to a home.
People were encouraged to follow interests and activities that added value to their lives. Staff supported people to do this, as well as put forward their ideas and be involved with the running of the home. People were also encouraged to maintain relationships that were important to them and be involved with activities that matched their interests.
The staff and the registered manager encouraged full involvement from the people living in the home. This included care plan reviews and suggested improvements to be made to the home. People’s needs were met in a holistic way and risks were assessed thoroughly and managed going forward.
People had access to health and social care professionals and referrals were made in a timely way. Staff worked well with other professionals to ensure the people living in the home received the best possible care.
People were kept safe by trained staff who had been safely recruited and completed a thorough induction process. Staff participated in constantly monitoring people’s care, risks and welfare to ensure the best possible care for people.
Staff supported people with their medicines and all medicines in the home were received, managed and administered in a safe way. People were supported to have a balanced diet and had input in to what they wanted to eat and were encouraged where necessary.
People knew how to make a complaint and there was a clear reporting and investigation process in place. The registered manager and all staff were aware of their roles and responsibilities and keen to learn from any lessons or improvements made in response to accidents or incidents.
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. The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
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 5 September 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.