Caretech Community Services (No 2) Limited - 22 Prices Avenue

Updated 11 August 2023

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 provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was completed by one inspector.

Service and service type

Caretech Community Services (No 2) Limited - 22 Prices Avenue is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Caretech Community Services (No 2) Limited - 22 Prices Avenue is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We communicated verbally and nonverbally with 4 people. We spoke with 5 members of staff including, the registered manager and 4 care workers. We looked at 3 people's care plans and risk assessments. We looked at a range of other records including accidents and incidents, 3 staff recruitment files, medicines records, surveys and audits. We looked staff rotas, minutes of staff and residents’ meetings and quality assurance.

We had recently received feedback from relatives, professionals and staff. We used this feedback in the report.

Updated 11 August 2023

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.

About the service

22 Prices Ave is registered to provide personal care and accommodation for up to 6 people in one adapted building. There were 5 people using the service at the time of our inspection who had a range of health and support needs, these included learning disabilities. Some people had additional conditions such as autism, sensory impairment and medical conditions.

People’s experience of using this service and what we found

Right Support:

Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome. However, when people needed cream applying to their skin to keep it healthy there was not always guidance in place to inform staff where the cream needed to be applied and staff had not consistently recorded that it had been applied. Action was taken by the registered manager to address this issue.

Risks to people were identified and there was full guidance in place to mitigate the risks. Staff followed the guidance. They recorded and reported to management when incidents occurred.

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.

People could communicate with staff and understand information given to them as staff supported them consistently and understood their individual communication needs.

Right Culture:

People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff. We did find a recent entry in one person’s daily record which was written in an authoritarian manner. The registered manager addressed this issue after the inspection. During the inspection staff treated people with respect and kindness.

Staff placed people's wishes, needs, and rights at the heart of everything they did. The stable management and core staff team supported people to receive consistent care from staff who knew them well. People received compassionate and empowering care which was tailored to their needs.

Quality assurance systems were in place to monitor the service people received. Staff evaluated the quality of support provided to people, involving the person, their families and other professional. All the relatives we had contact with were complimentary and positive about the service and the care and support their loved ones received.

Right Care:

People received kind and compassionate care. Staff protected and respected people's privacy and dignity.

Staff understood and responded to their individual needs. Staff understood how to protect people from poor care and abuse. Staff had training on how to recognise and report abuse and they knew how to apply it. Staff had recently reported an incident to the registered manager and appropriate action had been taken to make sure people were safe.

People's care, treatment and support plans reflected their range of needs and this promoted their

individuality, wellbeing and enjoyment of life. People could take part in activities of their choosing at the service or in the wider community and pursue their own interests. Staff received training and support to provide care effectively.

People were provided with meals and drinks to maintain their wellbeing. People were supported by health care professionals who worked in partnership with the service to maintain people's health and wellbeing.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was good (published 8 January 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service. This report only covers our findings in relation to the Key Questions Safe and Well-led. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The inspection was also prompted in part due to concerns received about safeguarding incidents. A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm from this concern as appropriate action had been taken. Please see the safe and well-led sections of this full report.

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.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Caretech Community Services (No 2) Limited - 22 Prices Avenue 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.