2 October 2019
During a routine inspection
Chetwynd Road provides personal care and support for adults with a learning disability, who may also have physical disabilities and/or other complex health conditions. This is a supported living service where people reside in self-contained flats. The service operates from an office within the building. There is a communal lounge and kitchen/dining area on the ground floor and a garden to the rear of the building. The service can support up to 14 people. At the time of our inspection 13 people were living at Chetwynd Road.
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
The provider’s governance systems were not always effective in identifying concerns in the service to drive the necessary improvement. At times there was a lack of clear and accurate records regarding people’s medicines, mental capacity and any potential risks to them. We have made a recommendation about this.
People felt safe living at Chetwynd Road and staff had a good understanding of safeguarding procedures. Staff were recruited safely and there were enough staff to support people effectively.
There were some restrictive practices in place around people accessing the community and other aspects of their lives being managed by the service. It was not clear that people had consented to this or had the capacity to do so. We have made a recommendation about this. However, staff supported people to make decisions and respected the choices they had made.
Staff were well supported and received appropriate training and supervision to meet people's needs.
People were happy living at Chetwynd Road and their relatives were complimentary about the service. People were supported by staff who were kind, caring and who understood their likes, dislikes and preferences. Staff understood how to support people in ways that promoted their privacy, dignity and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent. Staff supported people to set and work towards meaningful goals. They provided people with support to access their local community, plan activities and maintain important relationships.
Staff were positive about the management of the service and told us the registered manager was very supportive and approachable. People and their relatives felt listened to and knew how to raise concerns.
The provider used meetings and surveys to gather the views of people and staff, however it was not always clear how suggestions made had been acted on. Staff and the registered manager shared information effectively as a team and with other organisations when needed.
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 Outstanding. (Report published 20 April 2017)
Why we inspected
This was a planned inspection based on the previous rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Chetwynd Road on our website at www.cqc.org.uk.
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.