LD Care - Moreton Avenue

Updated 21 June 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 conducted by 1 inspector.

Service and service type

LD Care – Moreton Avenue is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. LD Care – Moreton 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

We gave the service 24 hours’ notice of the inspection. This was because the service is small, and people are often out, and we wanted to be sure there would be people at home for us to meet.

What we did before the inspection

We looked at all the information we held about the provider. 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.

During the inspection

We met both people who lived at the service, the registered manager, a team leader, and a support worker. People living at the service could not use words to communicate. However, staff helped us to communicate with people and we observed how the staff cared for and supported them.

We looked at records used by the provider for managing the service. These included the care records for both people, records of staff recruitment, training and support, audits and how medicines were managed.

We contacted 4 different external professionals and heard back from 1. We spoke with the relative of 1 person. We received additional written feedback from 2 other support workers following our visit. We also received feedback from the registered manager of another service and the area manager.

Updated 21 June 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

LD Care – Moreton Avenue is a care home for up to 2 people with learning disabilities and autistic people. At the time of the inspection, there were 2 people living at the service. The service is managed by a private limited company operating 4 care homes in North-West London.

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

The service was able to demonstrate how they were meeting and exceeding the underpinning principles of right support, right care, right culture.

Right Support: The staff supported people to have the maximum possible choice, control and independence. Staff focussed on people's strengths and promoted what they could do. People had fulfilling and meaningful everyday lives. People were supported to pursue their interests. The provider gave people care and support in a safe, clean, well equipped and maintained environment. Staff enabled people to access specialist healthcare services. Staff followed best practice when supporting people with communication and making decisions.

Right Care: Staff promoted equality and diversity when they supported people. They understood people's cultural needs and provided appropriate care. Staff were kind, caring and compassionate. They promoted people's privacy and dignity. Staff understood people's individual needs and care was personalised to reflect these. Staff understood how to protect people from poor care and abuse. There were enough skilled staff to meet people's needs. Staff had opportunities to learn and develop their skills. People who had individual ways of communicating could interact with staff comfortably because the staff had the necessary skills to understand them. People were supported to take positive risks and the staff assessed and planned for these.

Right culture: People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff. People received good quality care, support, and treatment because trained staff and specialists could meet their needs and wishes. People were supported by staff who understood best practice in relation to the wide range of strengths, needs and sensitivities people with a learning disability and/or autistic people may have. This meant people received compassionate and empowering care that was tailored to their needs. Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing. Staff turnover was very low, which supported people to receive consistent care from staff who knew them well. Staff placed people’s wishes, needs, and rights at the heart of everything they did. People’s quality of life was enhanced by the service’s culture of improvement and inclusivity.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 26 June 2019).

Why we inspected

We undertook this inspection to assess that the service is applying the principles of Right support, Right care, Right culture.

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.