Background to this inspection
Updated
18 February 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on Wednesday 19 January 2022 and was announced. We gave the service 24 hours’ notice of the inspection.
Updated
18 February 2022
About the service 10 West Street is registered to provide accommodation and personal care to one person. People who live there may have a learning disability and/or autism. At the time of the inspection one person lived at the home.
The service applied 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 that include control, choice, and independence. People using the service received planned and co-ordinated person-centred support that was appropriate and inclusive for them.
People’s experience of using this service and what we found
There had not been a registered manager in post since April 2018. It is a legal requirement that a registered manager be in post in registered care services. The local authority had noted that improvements were needed in relation to some areas of record keeping. The providers quality assurance team had identified this too. Action had been taken to make improvements to record keeping.
People felt safe and were supported by staff who knew how to recognise, report and act upon any concerns relating to abuse. Staff knew about people’s individual risks and how to manage those risks. Recruitment processes were in place to promote people’s safety. People were supported by sufficient numbers of staff to keep people safe and to meet their needs. Medicines were managed safely and were administered as they had been prescribed. Accidents and incidents were recorded, reported and acted upon.
Staff were trained and felt supported in their job role. People were supported to have make decisions about the way they wished to live and were supported to have control of their lives. Staff supported people in the least restrictive way possible and in their best interests to keep them safe. Staff supported people to access a variety of healthcare services to promote good health and well-being.
Staff were seen to be kind and caring and treated people with dignity and respect. The Family confirmed staff were polite and friendly. People were encouraged to be as independent as possible. The provider had an open, flexible visiting arrangements. Relatives felt welcomed and listened to by staff.
People were supported by staff who knew them and were aware of their individual needs and wishes. People had no complaints. Relatives confirmed the staff involved them in their family member’s reassessment of need. Relatives also confirmed they had been asked to give feedback on the service provided.
People and their relatives spoke highly of the staff and service provided. They told us the service was well-led. Staff felt supported, valued and listened to. The manager and area manger were visible within the service and people were confident to speak with them.
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 04 July 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.