Background to this inspection
Updated
29 January 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 13 January 2022 and was announced. We gave the service 24 notice of the inspection.
Updated
29 January 2022
About the service:
Burnley, Pendle and Rossendale Short Breaks Service is registered to provide short term respite care and accommodation for people with a learning disability and autism. The home is registered to support up to six people at any one time. The accommodation is all based on ground level and is accessible to all people who use the service. There were six people staying at the home at the time of inspection.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
People’s experience of using this service:
People felt safe and were extremely happy at the service. Staff had a good understanding of abuse and felt confident raising concerns. Risk assessments were robust. The service supported some individuals with very complex needs and there were behavioural risk assessments and strategies in place to ensure that this was managed effectively. The service was person-centred and support plans focussed on all aspects of their life. One-page profiles were in place and information was provided in easy read formats, such as safeguarding and complaints policy. People knew who to speak to if they had a complaint and felt able to express concerns to staff.
People's morning, evening and night time routines were detailed and it was clear that all people were supported consistently in a person centred way.
Assessments of need were extremely person centred and comprehensive. Reviews were taking place as required and appropriate referrals to external services were made. People's health and wellbeing was well documented, and people experienced positive outcomes.
There were 'champions' in the service who actively supported staff to make sure people experienced a high-quality service leading to a better quality of life. We were made aware of numerous positive outcomes for individuals where the team had gone the extra mile for individuals and their families.
There were enough staff to meet people's needs effectively and staff told us they were clear what roles and responsibilities were required of them during their shift. Staff were very competent and were aware of their responsibilities in terms of infection control. Good practice guidelines were being followed. The service had a welcoming atmosphere and was extremely clean and tidy.
Staff told us they had an appropriate induction and had received appropriate training to confidently carry out their role. Medicines were managed safely and we observed staff undertaking daily medication audits.
Communication was excellent within the service and people had access to communication passports and hospital passports. People had a choice of meals and pictorial information around menus were displayed.
Staff were extremely caring and knew the people they supported well. People at the service were content and at ease in the presence of the staff team. We saw positive interactions between staff and service users, demonstrating, warmth, humour and compassion. There were several thank you cards and compliments from families praising the staff and management.
People were placed at the heart of the service and staff supported people to have access to meaningful activities and engage in positive risk taking. Initial work with people who were new to the service was exceptional and the service supported people to move on to other services, to ensure consistency. People were treated with dignity and respect and were encouraged to develop relationships.
Staff felt extremely well supported by the registered manager who had high standards and had embedded a person centred ethos throughout the service. The team felt listened to and their experience and knowledge of individuals was acknowledged by the registered manager. Morale was excellent and staff were rewarded for their commitment to the service. It was evident that the staff and management team were incredibly passionate about the people that they supported.
Audits were being undertaken and accidents and incidents were being managed appropriately. There was an open culture of learning from incidents and we saw that appropriate actions were documented when incidents occurred.
People were supported to have maximum choice and control of their lives and staff supported people in the least restrictive way possible; the policies and systems in the service supported this practice. We saw evidence of decision specific capacity assessments and the service had developed an MCA key ring to help guide staff.
Rating at last inspection:
At the last inspection the service was rated outstanding (published 7 November 2016).
Why we inspected:
We carried out this inspection based on the previous rating of the service.
Follow up:
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk