Background to this inspection
Updated
25 September 2019
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 Care Act 2014.
Inspection team
One inspector carried out the inspection.
Service and service type
58 Ormesby Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
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 sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.
During the inspection
We met with four of the people who used the service and spoke on the telephone with three relatives about their experience of the care provided. We spoke with eight members of staff including the registered manager, deputy manager, six support workers.
We reviewed a range of records. This included two people’s care and medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We sought feedback from professionals working with the service.
Updated
25 September 2019
About the service
58 Ormesby Road is a residential care home providing personal care for up to six people aged 18 and over who are living with a learning disability and/or autism. At the time of inspection, the service was providing support to five people
58 Ormesby Road is a large adapted house situated in a residential area with close links to transport, shops, parks and countryside. It has its own private enclosed gardens which all people can use if they require quiet time or a safe space.
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 were observed to be happy living at the home. Relatives told us they felt their loved ones were safe and cared for by staff who knew them very well.
People experienced safe care. Risks to people were identified and managed safely by staff who understood their responsibilities to protect people from abuse and avoidable harm. Enough staff with the required skills and knowledge were deployed and provided people with safe care. People received their medicines safely, and as prescribed, from staff who had completed the required training and had their competency to do so assessed. The registered manager reviewed accidents and incidents to prevent reoccurrences. Any lessons to be learnt from incidents were shared with all staff.
Staff were observed to be kind and caring. People were treated with dignity and respect. Staff helped to promote people’s independence. Staff knew people’s interests and preferences and supported them to access a wide range of community activities of their choice, which enriched the quality of their lives. People were supported to maintain relationships with people close to them.
Staff, in line with the provider’s infection control policy, maintained high standards of cleanliness and hygiene in the home.
People received effective care and support, which consistently achieved successful outcomes and promoted a good quality of life. Staff felt valued and well supported by the management team because there was a system of effective training, competency assessment, supervision and appraisal. Staff consistently delivered care in accordance with people’s support plans and recognised best practice.
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 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.
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 08 March 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.