28 February 2023
During a routine inspection
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of our inspection there were 4 people receiving the regulated activity of personal care.
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.
People’s experience of using this service and what we found
Right Support:
People were supported to take their medicines as prescribed. Medicine management procedures in place supported safe medicine administration.
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.
People’s communication needs were recorded, and staff supported people with understanding information in a method that suited each individual person.
Right Care:
People were supported by kind staff who had been trained to understand their needs and who had been safely recruited. Care plans were person centred and detailed people’s likes, dislikes, significant people in their lives and any additional needs that may require staff support.
People were treated with dignity and respect. Staff understood people’s needs and encouraged people to learn new skills and participate in activities they enjoyed. Staff respected people’s privacy and maintained people’s dignity.
Staff supported people to access healthcare professionals to remain healthy and safe. People were supported with healthy meal choices and supported to learn new skills such as cooking.
Right Culture:
Systems and processes to ensure management oversight were not always effective. Records were not always accurate and did not always contain sufficient details. The registered manager implemented changes immediately after the inspection.
Feedback was not always sought from relatives and staff. However, people, relatives and staff all knew how to complain, and complaints were managed effectively.
Staff enjoyed working at Lyttleton Road and felt supported within their roles. Staff received supervisions and team meetings to share information and the registered manager completed spot checks to ensure staff were keeping people safe.
The registered manager and staff worked with external professionals to drive improvement and learn lessons.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 18 December 2019 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Enforcement and Recommendations
We have identified a breach in relation to management oversight at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
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.