27 February 2019
During a routine inspection
Idelo Limited-8 Courtenay Avenue provides accommodation and personal care for three adults who have learning disabilities, some of whom live with mental health needs. At the time of the inspection three adults were living in the care home.
People’s experience of using this service:
The care home had been registered before Registering the Right Support and other best practice guidance had been developed. Registering the Right Support guidance focuses on values that include choice, inclusion and the promotion of people’s independence so that people living with learning disabilities and/or autism can live a life as ordinary as any other citizen. However, it was evident that people living in Idelo Limited-8 Courtenay Avenue were provided with the support that they needed to make decisions about their lives, develop their independence and to participate fully within the local community.
People using the service told us that they felt safe and staff were respectful and kind. They spoke of being happy living in the home and leading busy lives. People’s relatives were also positive about the staff and the service provided to people. They told us that staff understood people’s needs including their cultural and religious needs.
People's care and support plans were up to date and personalised. They included details about people’s individual needs and preferences and guidance for staff to follow so people received personalised care and support that met their individual needs and preferences.
Staff knew people well and had a caring approach to their work. They understood the importance of treating people with dignity, protecting people's privacy and respecting their differences and human rights.
People were protected from the risks of harm, abuse and discrimination. Staff knew what their responsibilities were in relation to keeping people safe.
Systems were in place to ensure that people received their prescribed medicines safely. Medicines training was provided to staff and their competence to administer medicines was assessed.
Staff had the skills and knowledge to provide people with the care and support that they needed. They received a range of training and the support that they needed to enable them to carry out their roles and responsibilities.
Staff understood their obligations regarding the Mental Capacity Act 2005 (MCA). People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People were supported to have choice and control over their day to day lives. Staff gained people's agreement before providing them with assistance with personal care and other activities.
People received the support they needed to stay healthy and to access healthcare services.
Staff encouraged and supported people to actively participate in activities, pursue their interests and to maintain relationships with people that mattered to them. People told us that they felt a part of their local community. A person told us that they used public transport and accessed a range of community facilities and amenities.
Rating at last inspection: Good. The report was published 25 October 2016. The service was rated good overall but was rated improvement in Safe. This was because some risk assessments had not been reviewed regularly, medicines training for staff was not consistently taking place and references for new staff had not always been followed up to confirm their authenticity. We found during this inspection that management had taken appropriate action to address these issues.
Why we inspected: This was a scheduled planned comprehensive inspection.
Follow up: We will continue to monitor the service through the information we receive.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk