Archived: Self Unlimited - 70 High Street

Updated 28 February 2019

The inspection:

• We carried out our inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. Our inspection checked whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

• Our inspection was completed by one adult social care inspector.

Service and service type:

• Self Unlimited 70 High Street is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement.

• CQC regulates both the premises and the care provided, and both were looked at during this inspection.

• Self Unlimited 70 High Street 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.

• The service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. At the time of our inspection, a manager was registered with us.

Notice of inspection:

• Our inspection was unannounced.

• The inspection site visits occurred on 7 and 9 January 2019.

What we did:

• Our inspection was informed by evidence we already held about the service. We also checked for feedback we received from members of the public, local authorities and clinical commissioning groups (CCGs). We checked records held by Companies House and the Food Standards Agency.

• We asked the service to complete a Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

- We spoke with two people living in the service. We saw how a staff member supported people throughout the inspection to help us understand peoples’ experiences of living at the home.

• We spoke with the registered manager and one care worker.

• We reviewed a person’s care records, a staff personnel file, four medicines administration records and other records about the management of the service.

• We asked the provider to send us further information after our inspection. This was received and used as evidence for our ratings.

Updated 28 February 2019

About the service:

- The service is in a residential area of Kibworth, close to the village centre.

- The service provides accommodation and personal care to people with learning disabilities and autism. The care home can accommodate six people in one building. At the time of our inspection there were four people using the service.

• This is one of many locations that the provider operates nationally.

People's experience of using this service:

• The service provided a safe service.

• People liked living at the service.

• There was a homely atmosphere for people.

• People were protected against abuse, neglect and discrimination. The staff member was aware of ensuring people's safety and acting when necessary to prevent any harm.

• The staff member knew people well and people appeared to enjoy the attention from the staff member.

• People were assisted to have choice and control of their lives.

• People had a say in how the service was operated and managed.

• People's care was personalised to their individual needs.

• Fully comprehensive governance processes were not fully in place to ensure quality care. Questionnaires had not been supplied to people and staff for their views of the service. Auditing to check that a quality service was provided was not comprehensively in place.

• The service met the characteristics for a rating of "good" in all key questions except well led.

• More information is in the full report.

Rating at last inspection:

• At our last inspection, the service was rated "good." Our last report was published on 17 March 2016.

Why we inspected:

• This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.

Follow up:

• We will continue to monitor the service to ensure that people receive safe, high quality care. Further inspections will be planned for future dates.