17 November 2022
During an inspection looking at part of the service
About the service
7-9 Third Avenue is a small care home providing care and support to people with a learning disability and autistic people. The property is a 6 bedroomed bungalow and there were 6 people living at the service at the time of the inspection.
People’s experience of using this service and what we found
Right Support:
The provider did not always ensure people were supported to have the maximum possible choice, control and independence. People’s care plans and daily records lacked information about how staff supported people to engage with meaningful activities and achieve goals.
Staff supported people with their medicines in a way that promoted their safety and achieved the best possible health outcome. Staff supported people to maintain their health and wellbeing.
Right Care:
The provider had not always promoted opportunities for people to try new activities that enhanced and enriched their lives.
Staff had not always received specialised training to understand people’s individual communication methods. However, staff were able to tell us how people liked to interact and the methods they used to communicate.
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.
The service had enough staff to meet people’s needs and keep them safe. People received consistent care from staff who knew them well.
Right Culture:
The culture of the service was not always positive and staff did not always understand best practice in relation to the wide range of strengths and needs people with a learning disability and autistic people may have.
The provider did not always have effective oversight over the quality and safety of the care people received.
People and those important to them, were not always actively involved in planning and reviewing their care.
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 02 August 2017).
Why we inspected
We undertook this focused inspection to assess whether the service was applying the principles of right support, right care, right culture.
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.
This report only covers our findings in relation to the Key Questions of Safe, Responsive and Well-led. 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 has changed from good to requires improvement based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for 7-9 Third Avenue on our website at www.cqc.org.uk.
Enforcement
We have identified breaches in relation to the management of safety and oversight of the service at this inspection. Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.