15 October 2019
During a routine inspection
Care Management Group – 59 Bury Road is a residential care home providing accommodation and personal care to six people living with a learning disability or autistic spectrum disorder at the time of the inspection. The service can support up to six people in a large residential property.
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 continued to receive safe care at 59 Bury Road. Staff understood how to provide safe care and guidance was in place for staff to follow to reduce risks to people. The service acted to safeguard people from abuse and people, staff and families were made aware of how to report any concerns. Staff were safely recruited and there were enough staff to meet people’s needs. Medication management was safe, and staff used protective equipment to protect people from the spread of infections. Incidents were used to improve care.
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 registered manager acted to address the assessment and review of people’s mental capacity where required during the inspection.
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.
People’s needs were assessed, and these were met by staff who completed the appropriate training and received support to provide effective care. Staff used a positive behavioural approach to support people to manage behaviours that may challenge others or cause them harm. People’s healthcare and dietary needs were assessed and met. The service offered a homely environment and people’s rooms were personalised.
People were supported by kind, caring and compassionate staff. Staff understood how to support people when they were distressed or anxious and provided a thoughtful and consistent approach to supporting people at these times.
People’s communication needs were known, recorded and met. Care plans were clearly laid out and described how people preferred to receive care and this was followed in practice. People were supported to participate in activities that met their interests. A complaints procedure was in place and available to people in an accessible format. People had been supported to consider their end of life needs.
The service had experienced several staff and leadership changes over recent months. Staff told us the new registered manager had improved the culture of the service and people benefited from a more inclusive and person-centred approach. There was a system in place to monitor and improve the quality and safety of the service. We have made a recommendation for the provider to improve the implementation of the Mental Capacity Act (2005) which provides a legal framework for making decisions on behalf of people who may lack the mental capacity to do so for themselves.
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 21 February 2017).
Why we inspected
This was a planned inspection based on the previous rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Care Management Group – 59 Bury Road on our website at www.cqc.org.uk.
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.