King Street - Care Home Physical Disabilities

Updated 20 December 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is 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.

This was a comprehensive inspection. The inspection visit took place on 26 November 2018 and was unannounced. One inspector undertook this inspection.

Before our inspection visit we contacted the Local Authority. They had no information of concern about the service. We also looked at information we had received from people who shared their experience; and from statutory notifications we had received from the provider. A statutory notification is information about important events which the provider is required to send to us by law. We also looked at the Provider Information Return (PIR) sent to us by the provider. This is a form that asks the provider to give some key information about the service, including what they do well and improvements they plan to make.

During our inspection visit we spoke with the registered manager, deputy manager, a team leader, the maintenance worker, the volunteer co-ordinator, the activity coordinator, and one member of support staff. We spoke with six people who lived in the home and two visiting relatives. We also spoke with a visiting health care professional. We checked one person’s care record, one recruitment record, medicine administration, health and safety records, as well as team and resident meeting records.

Updated 20 December 2018

This inspection took place on 26 November 2018 and was unannounced.

King Street Care Home, is a care home for a maximum of 17 people with physical disabilities. The home is a two-storey building with en-suite bedrooms, and communal lounges and dining rooms on each floor. At the time of our visit, 16 people lived in the home.

People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The home has 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. The registered manager was managing the service at our previous inspection.

At our last inspection we rated the service as ‘good’. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The service continued to be safe. Staff understood how to safeguard people from harm. They understood the risks to people’s health and wellbeing and took action to lessen each risk. They also worked with positive risk taking to enable people to have fulfilling lives. There were enough staff on duty to meet people’s needs; and checks had been made on staff before working for the service to make sure they were safe to work with people. People received their medicines as prescribed. The home was clean and tidy and staff understood infection control practice. The premises were well-maintained.

The service continued to be effective. Staff received training to support them work effectively with people who lived at the home. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The principles of the Mental Capacity Act (MCA) were followed. People had access to different health and social care professionals when required, and good relationships had been formed between the service and those professionals. People received food they enjoyed, and were involved in cooking some of the meals.

The service continued to be caring. People received care from staff who were kind, and treated them with dignity and respected their privacy. Staff had developed positive relationships with the people they supported, they understood people’s needs, preferences, and what was important to them. The service supported people to maintain and develop relationships with their family.

The service had improved its responsiveness, and was now ‘outstanding’. People’s needs were assessed and planned for with the full involvement of the person. Care plans were very informative and helped staff understand the complexities of people’s care and support needs. People were empowered to have as much control in their life as possible and live life to the full. People had many opportunities to pursue their interests and hobbies, and a very good range of daily social activities were offered. There was a complaint procedure and complaints had been dealt with appropriately. Procedures were in place for end of life care; and staff had recently supported a person’s end of life with heartfelt care and kindness.

The service continued to be well-led. The registered manager and deputy worked hard to ensure a good quality of service was maintained. They provided good support to the staff group, and to people who lived at the home. Checks were made to ensure the service met its obligations to provide safe accommodation to people and to deliver care and support which met people’s individual needs.