We carried out a review of the data available to us about R M P Care - 21 Longton 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 R M P Care - 21 Longton Road, you can give feedback on this service.
RMP Care – 21 Longton Road is a care home providing personal care to five people at the time of the inspection. The service can support up to five people. The care home accommodates five people in one building. People live across two floors and have their own bedrooms. Communal areas include a lounge, a kitchen and dining room and a garden at the back of the building.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
People’s experience of using this service and what we found
Right Support
People were supported to have exceptional choice and control of their lives by enough suitably recruited and robustly trained staff, that supported them in the least restrictive way possible and in their best interests. People were involved in all decisions about their care and were supported and encouraged to try new things and undertake hobbies. Staff focussed on people’s strengths and encouraged them to work towards their goals. The staff team responded positively to the potential challenges posed by COVID-19 by consulting people about alternative activities that could be undertaken to maintain good mental and physical health. The service had built strong relationships with other agencies meaning access to health and social care support was provided in a timely manner. Hospital passports were in place that contained vital health information should they require a hospital stay.
Right Care
Staff knew people exceptionally well and demonstrated a person-centred, kind and compassionate approach when interacting with people. Staff consistently respected and promoted people’s dignity by recognising their abilities and ambitions enabling them to live fulfilling, meaningful lives respecting their diverse needs. Staff demonstrated a high level of knowledge around people’s individual communication preferences which ensured they received care and support specific to them. This enabled them to express themselves and could be involved in their care and support as much as possible. Feedback we received from relatives and professionals about the care and support provided was overwhelmingly positive.
Right culture
The service demonstrated a positive person-centred culture whereby people were put at the centre of the service and was focussed on achieving meaningful outcomes. Relatives and professionals told us staff were extremely caring, promoted people's independence and fully involved them in decisions about their care. People were encouraged to live as independently as possible, with staff offering support and guidance where needed. People were actively involved in the service with views and opinions being regularly sought and listened to. People were kept safe from the risk of harm by staff that understood their responsibilities in regard to safeguarding procedures. The registered manager and staff were knowledgeable about their roles and received training to ensure they had up to date skills to support people in a safe and person-centred way.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support right care right culture. We undertook this inspection as part of a random selection of services rated Good and Outstanding.
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.
21 Longton Road provides accommodation and personal care for up to five people with a learning disability. At the time of this inspection five people were using the service.
There was a registered manager in post who supported us throughout the inspection. 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 2008 and associated Regulations about how the service is run.
People who used the service received an excellent personalised service that met their individual needs and preferences. People were at the centre of how their service was run and were fully involved in the planning and developing of the service. Staff used innovative ideas and actions to improve people's quality of life and to give them outstanding opportunities in daily life.
People were safeguarded from the risk of abuse and action was taken to report or investigate incidents of abuse.
There were sufficient numbers of staff available to support people who had been employed through safe recruitment procedures.
Risks of harm were assessed and people were supported to remain safe and independent through the effective use of risk assessments. Lessons were learned following incidents that had put people at risk of harm.
People were protected from the risk of infection as infection control procedures were being followed.
People's needs were assessed and they received care and support from other agencies to ensure a holistic approach.
Staff received regular support and training to be able to fulfil their roles effectively.
The principles of the Mental Capacity Act 2005 were followed to ensure people's capacity to consent to their care was assessed. When people lacked the capacity they were supported to consent by their legal representatives.
People were supported to eat and drink sufficient amounts of food and drink of their liking. When people became unwell or their health needs changed, health care advice and support was gained.
The design and decoration of the building met people's individual needs and preferences.
People were treated with dignity and respect and were encouraged to be as independent as they were able. People's right to privacy was upheld and their relationships respected.
People were involved and able to express their view on how their service was run.
People received personalised care that was responsive to their individual needs and people felt able to raise concerns and were assured they would be acted upon.
People's wishes on how they wished to be cared for at the end of their life were sought.
There was a clear and visible strategy to deliver high quality care and support and there were systems in place to ensure that responsibilities are clear and performance is managed.
People who used the service, staff and the public were actively engaged and involved in the care delivery.
The registered manager and staff were continuously striving to improve the quality of service for people and staff worked with other agencies to ensure a holistic, open approach to people's care and support.
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21 Longton Road provided accommodation and personal care for up to five people with a learning disability. Five people were using the service at the time of the inspection.
The registered manager supported us throughout the inspection. 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 2008 and associated Regulations about how the service is run.
Staff knew what constituted abuse and who they should report it to if they thought someone had been abused. There were enough staff to keep people safe and to support people to follow their hobbies and interests.
People’s medicines were managed safely. Risks to people were minimised to encourage and promote people's independence. Staff were clear how to support people to maintain their safety when they put themselves at risk.
The Mental Capacity Act 2005 (MCA) is designed to protect people who cannot make decisions for themselves or lack the mental capacity to do so. The Deprivation of Liberty Safeguards (DoLS) are part of the MCA. They aim to make sure that people in care homes, hospitals and supported living are looked after in a way that does not inappropriately restrict their freedom. The provider followed the principles of the MCA by ensuring that people consented to their care or were supported by representatives to make decisions.
Staff were supported to fulfil their role effectively. There was a regular programme of training that was relevant to the needs of people at the home, which was kept up to date.
People’s nutritional needs were met. People were supported to eat and drink sufficient amounts to maintain a healthy lifestyle dependent on their preferences.
People were supported to access a range of health care services. When people became unwell staff responded and sought the appropriate support.
Staff were observed to be kind and caring and they told us that were well supported by the registered manager.
Care was personalised and met people’s individual needs and preferences. The provider had a complaints procedure and people knew how to use it.
The provider had systems in place to monitor the quality of the service. When improvements were required these were made in a timely manner.
We spoke with people that used the service, a relative, two members of staff and the manager. When we arrived people were busy getting ready for their day activities with the support of staff.
People who used the service told us they were happy at Longton road. One person told us, 'It's fantastic here'.
We spoke with people and looked at their care plans and found that people's care and welfare needs were being met.
We looked to see if people's medication was being managed appropriately. We found the service had systems in place to ensure handled safely and securely.
We found that staff that had been recruited to the service had the relevant checks completed prior to them commencing their employment.
The service had a complaints procedure which dealt affectively with comments and complaints made by people who used the service or their relatives.
We saw that the service maintained records to protect people's safety and wellbeing.
We found that 21 Longton road was compliant in the five outcome areas we looked at.
We arrived at 8.30am and we saw people were getting up, either independently or with support from staff. The home was comfortable and welcoming and people who used the service appeared happy and relaxed and dressed appropriately for the weather and planned activities.
The registered manager was on holiday but there was a senior member of staff on duty and we were later joined by the deputy manager.
We looked at two people's care plans and risk assessments and found them to be comprehensive and written in a person centred format. People we spoke with told us that they were involved in writing their care plan.
We spoke with one person who used the service and their relative, we spoke with staff and other involved agencies. They told us the care was good and people who used the service were fully involved in their care planning.
The staff were friendly and treated people who used the service with dignity and respect throughout the day, they demonstrated a philosophy of a person centred service, supporting and actively promoting people's independence.
We saw day activities were offered to people and were appropriate to the needs of the individual.