Background to this inspection
Updated
4 September 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. 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 to provide a rating for the service under the Care Act 2014.
Inspection team:
This inspection was carried out by one inspector.
Service and service type:
31, Egmont Road is a 'care home'. People in care homes receive accommodation and nursing or personal care as a 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. The service had a manager who is in the process of registering with CQC. A registered manager 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:
The inspection took place on 5 August 2019 and was unannounced.
What we did before the inspection:
We reviewed information we had received about the service since the last inspection as well as the information the provider sent us in the provider information return. This is information we require providers to send us with key information about their service, what they do well and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection:
We spoke with two people who used the service. We also spoke with the manager, two staff and the regional director. We observed medicines being administered and we joined people for lunch so we were able to see support people received from staff. We reviewed four care records and medicine administration records (MAR). We looked at five staff recruitment files, together with the provider's training schedules. We also examined other documents relating to the management of the service, procedures, quality assurance audits, team and residents meeting minutes and satisfaction surveys.
After the inspection:
We spoke with three relatives and two health and social care professionals.
Updated
4 September 2019
About the service:
31, Egmont Road is a 'care home' providing personal care and accommodation to people living with moderate to complex learning disabilities. The service can support up to six people. The care home accommodated five people the time of this inspection in one adapted building. There was a mix of male and female adults who had been living in the home for more than two years and up to ten years for some people. Their ages ranged from mid 20s to middle age.
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:
Relatives told us people were safe living in this home and that staff were kind to people.
Staff received training to do with safeguarding adults that helped them keep up to date with best practice. Staff followed clear safeguarding procedures that helped to protect people from harm.
Risks to people, including those associated with their healthcare needs, were assessed and plans were in place to reduce them.
Whistleblowing procedures were in place and displayed on notice boards for all to see. Staff told us they were confident any concerns they reported would be dealt with appropriately.
Appropriate infection control procedures were in place and staff received training with food hygiene.
Staff rotas and staffing levels were appropriate to meet people's needs and safe recruitment practices were in place.
People’s medicines were stored, administered, recorded and audited appropriately. The provider had appropriate policies and procedures in place to support people safely with their medicines as prescribed.
Comprehensive needs assessments were carried out and there was sufficient detail and personalisation in the care plan to ensure the person's needs were met in a personalised way.
The manager ensured staff completed training to ensure they were able to meet people’s needs effectively. Support was provided appropriately for staff with regards to their professional roles.
People were supported to have 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.
Records showed people were supported to have their health needs met, with access to health professionals as required.
Relatives of people told us their relationships with the staff team was good. They said their privacy and dignity was respected. They also said they were able to express their views and preferences and staff responded appropriately.
There were systems in place to ensure concerns and complaints were responded to in an appropriate way.
Quality assurance processes were in place that monitored practice and procedure by staff, however some improvements in developing the quality assurance systems were needed and the provider was in agreement with this. The provider worked collaboratively with other agencies and organisations to meet people’s needs.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at the last inspection
At the last inspection the service was rated Good (27 January 2017published ).
Why we inspected:
This was a planned inspection in line with our inspection schedule.
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.