We carried out a review of the data available to us about United Response - 16 Curtis Road on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about United Response - 16 Curtis Road, you can give feedback on this service.
United Response - 16 Curtis Road is a ‘care home’ that provides care and support for up to 4 people. All the people who live at Curtis Road have a learning disability. There were 4 people living there at the time of the inspection.
CQC regulates both the premises and the care provided, and both were looked at during this inspection.
People’s experience of using this service and what we found
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right Support
People received a service that was safe for them to live in and staff to work in. The service quality provided was regularly reviewed, and changes made to improve people’s care and support as required. This was carried out in a way that best suited people. The home had well-established working partnerships that promoted people’s participation and reduced their social isolation.
Right Care
The home had enough well trained and appropriately recruited staff who supported people to live safely, whilst enjoying their lives. Risks to people and staff were assessed, monitored and reviewed. Complaints, concerns, accidents, incidents and safeguarding issues were reported, investigated and recorded. Trained staff safely administered people’s medicines.
Right culture
The home’s culture was honest, open, and positive with leadership and management that was clearly identifiable and transparent. The provider’s vision and values were clearly defined, and staff understood and followed them. Staff understood their responsibilities, accountability and were happy to take responsibility and report any concerns they may have.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports the Care Quality Commission (CQC) to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
Rating at last inspection
The last rating for this service was Good (published 28 November 2019).
Why we inspected
We undertook this inspection to check whether the service was continuing to provide a good rated service to people.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service remains good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for United Response - 16 Curtis Road on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Curtis Road is a care home providing care and support for up to four people with learning disabilities. The home is managed by United Response and is situated in the Hampton area within the London Borough of Richmond Upon Thames. There were no vacancies.
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
The home was safe for people to live and staff to work in. People enjoyed living at Curtis Road. Risks to people were assessed, enabling them to live safely and enjoy their lives, whilst taking acceptable risks. Accidents, incidents and safeguarding concerns were appropriately reported, investigated and recorded. There were suitable numbers of appropriately recruited staff. Medicine was safely administered.
People did not experience discrimination and their equality and diversity needs were met. Well-trained, supervised, and appraised staff spoke to people in a patient, clear way that they could understand. They encouraged people to discuss their health needs and people had access to community-based health care professionals. People were protected, by staff, from nutrition and hydration risks and they were encouraged to choose healthy and balanced diets that also met their likes, dislikes and preferences. The premises were adapted to people’s needs. Transition between services was based on people’s needs and best interests.
The home had a warm, friendly and welcoming atmosphere with people enjoying the way staff provided them with care and support. Staff we met were caring and compassionate. There were many positive interactions between people, staff and each-other during our visit. Staff observed people’s privacy, dignity and confidentiality. People were encouraged and supported to be independent and had access to advocates.
People’s care was person centred and they had their needs assessed and reviewed. They had choices, followed their interests and hobbies and did not suffer social isolation. People were given information to make decisions and end of life wishes were identified. Complaints were recorded and investigated.
The home had a culture that was open, positive and honest with transparent management and leadership. The organisation’s vision and values were clearly set out and understood by staff. Areas of responsibility and accountability were identified, and service quality frequently reviewed. Audits were carried out and records kept up to date. Good community links and working partnerships were established. Registration requirements were met.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at the last inspection
The last rating for this service was good (published 28 June 2017).
Why we inspected
This was a planned inspection based on the previous rating.
After the inspection
We continue to seek clarification from the provider to validate evidence found. This included training matrix, and audits. We received the information which was used as part of our inspection.
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.
The home at Curtis Road provides personal care and support for up to four adults who have a physical and/or learning disability. The service is managed by United Response and the building is owned by Thames Valley Housing Association. The home is in Whitton, Middlesex.
At the time of our inspection the home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.
At the last inspection on 24 February 2015 the home met all the key questions and was rated good in each with an overall good rating.
As people using the service had limited verbal communication one relative spoke on their behalf and we based our findings on observation of care provided and people’s response to it. A relative told us they thought that people enjoyed living at the home and how staff treated and supported them. Staff supported people to choose their activities and when they wanted to do them. There was a variety of activities provided at home, within other homes in the organisation and the community. People were kept safe living at Curtis Road and doing activities within the local community. When we visited the home was warm, welcoming and friendly with people coming from and going to activities. There was positive interaction between people using the service and staff during our visit.
The home’s records were up to date, accessible and covered all aspects of the care and support people received, including their choices, activities and safety. People had fully completed care plans and the information was regularly reviewed. This enabled staff to perform their duties in an efficient and professional manner. People’s health needs were addressed and people using the service had access to GP’s and other community based health professionals, through staff. The staff team helped people to choose healthy meal options and maintain balanced diets whilst meeting their likes, dislikes and preferences. This enabled them to be protected from nutrition and hydration associated risks. Our observations showed that people liked the choice and quality of their meals.
People were familiar with the staff that supported them as most of the staff had been in post for a long period of time and the staff were very aware of people’s, likes, dislikes, preferences and routines. People using the service were well supported and enjoyed the way staff delivered their care. Skilled staff provided care and support in a friendly and professional way that was person centred. The staff were well trained and readily available to people using the service. Staff said they liked working at the home and had received good training and support from the manager.
A relative said the management team was approachable, responsive and listened to them. The quality of the service provided was consistently monitored and assessed.
This was an unannounced inspection that took place on 24 February 2015.
The home provides personal care and support for up to four adults who have a physical and/or learning disability. The service is managed by United Response and the building is owned by Thames Valley Housing Association. The home is in Whitton, Middlesex.
The home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.
In July 2013, our inspection found that the home met the regulations we inspected against. At this inspection the home met the regulations.
Relatives told us the home provided a good service and they enjoyed living there. People chose the activities they wished to do. These were group and individual based. The staff team provided the care and support they needed to do them. Curtis Road was well maintained, furnished, clean and provided a safe environment for people to live and work in. The home’s atmosphere was warm, comfortable and enabling.
The records were comprehensive and kept up to date. This included care plans that contained clearly recorded, fully completed, and regularly reviewed information that enabled staff to perform their duties.
The staff we spoke with were very knowledgeable about the people they worked with and field they worked in. They had appropriate skills, training and were focussed on providing individualised care and support in a professional, friendly and supportive way. They had access to good training, support and career advancement. People were enabled by staff to enjoy themselves, in a safe way and there was a lot of smiling and laughter during our visit.
Relatives said they were encouraged to discuss health needs with staff and people had access to community based health professionals, as required. Staff knew when people were experiencing discomfort and made them comfortable. People were protected from nutrition and hydration associated risks with balanced diets that also met their likes, dislikes and preferences. Relatives were positive about the choice and quality of food available. They also said the management team at the home were approachable, responsive, encouraged feedback from people and consistently monitored and assessed the quality of the service provided.
One staff member told us "we have worked with people living here for a long time and are in contact with people's relatives on a regular basis, and involve them in consent". Staff were familiar with the needs of individual people and conveyed their understanding of people's support plans.
We asked senior staff about local partnerships. They confirmed that information was shared with appropriate people to safeguard and protect people during transfer and discharge between services. We asked to view the home and observe how cleanliness and infection control was managed. We looked at the kitchen, bathrooms and living spaces. The home was clean and well maintained.
While inspecting the home we talked with staff and asked four of the six staff about their training needs. Between them, the staff we spoke with described a comprehensive and varied training programme.
We asked to speak with relatives of two people using the service. One relative said "we've never had to make a complaint and I don't think we ever will". We gathered evidence about the service by reviewing compliment cards and the complaints log.
Because the people who live at Curtis Road have complex needs, we weren't able to speak with people, which meant that they were not able to tell us about all of their experiences.
We talked with three staff and the manager to gain insight and understanding of how people were cared for and kept safe, they told us that they know each of the people who live at the home very well and use a key worker approach to provide consistent care.
Staff gave detailed accounts of the support that people received and how they felt they have contributed to the well-being of people living at the home. We heard accounts of the way people's lives were enriched through a varied and interesting selection of community activities.
Representatives of the people who lived at the home, staff and others told us that they thought the service was well run. They said that people had the care and support they needed. One person said, ''we fully believe that Curtis Road runs very well, and we know of nothing which needs to be performed better''. Another person told us that there was an ''excellent standard of care'' at the home.