Archived: Nutbush Cottage

Ratings

• Overall

  Inadequate

• Safe

  Inadequate

• Effective

  Inadequate

• Caring

  Inadequate

• Responsive

  Requires improvement

• Well-led

  Inadequate

Our view of the service

NC is a residential care home providing personal care for up to 4 people who have a learning disability and/or autistic people. At the time of our assessment the service was fully occupied. We completed this assessment between 28 June and 24 July 2024. As part of our assessment methodology for people with a learning disability and autistic people, we assess if services are meeting the Right Support, Right Care, Right Culture (RSRCRC) statutory guidance. At this inspection we found the provider had failed to ensure the principles of Right support, Right care, Right culture were being met. Risk to people’s safety and wellbeing were not managed well and staff did not always treat people with dignity and respect . The culture of the service was task focused with routines prioritised over people’s personalised care. The provider and management team had failed to ensure concerns and shortfalls in the service were addresses and improvements embedded into practice. Staff worked long hours and did not receive supervision to review their performance. Some staff told us they did not feel able to raise concerns openly as they as they feared repercussions from the provider.

People's experience of this service

People were not safeguarded from the risk of abuse as staff did not always report concerns and systems were not robust. Staff did not recognise and report incidents of anxiety. This meant concerns were not acted upon to support people in managing their distress. Not all staff were aware of people’s needs, how they wished to be supported and what made them feel anxious. This meant people’s support was not person centred. People were not supported to be involved in the planning of their care and people were not supported to set goals going forward. Although people were supported to go out, this was not as frequent as they wished and opportunities to broaden the range of things they did was not offered. People rarely went out in the evenings despite their care records listing things they enjoyed doing at this time. Staff worked in a task focussed way which created an institutionalised feel to the home. People were not always offered meaningful choice and communication guidance from health professionals was not followed. The provider's quality systems did not focus on people’s quality of life to ensure they were able to live a fulfilled life of their choosing.