Background to this inspection
Updated
15 January 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one Inspector
Service and service type
115 Gough Road is a ‘care home’. People in care homes receive accommodation and 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.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed the information we held about the service. We looked to see if statutory notifications had been sent by the provider. A statutory notification contains information about important events which the provider is required to send to us by law. We reviewed information that had been sent to us by the public and the local authority safeguarding team, we used all of this information to plan our inspection.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all this information to plan our inspection.
During the inspection
We observed the actions, reactions, body language, facial expressions and vocalisations of people who use the service because all people living in the service were non-verbal. We spoke with the registered manager and five support staff.
We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at accident and incident records, safeguarding records, training and staff rotas. A variety of records relating to the management of the service, including policies and procedures were also reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at complaints procedures and guidance for people using the service. We spoke with one professional who co-ordinates specialist input to the service.
Updated
15 January 2020
About the service
115 Gough Road is a residential care home providing accommodation and personal care for up to five people who have sensory impairments. At the time of inspection, the service was providing care and support to 5 people living at the service. The home is a large specifically adapted building with five rooms and open communal rooms.
People’s experience of using this service and what we found
We found the service to be safe and supportive of people’s needs. There were sufficient staff employed to meet the individual needs of people and encourage independence as much as possible.
People were cared for by supportive and experienced staff that knew and understood the people in the and understood their needs and preferences. The staff were trained and supervised to ensure they had the knowledge and skills to perform their role.
People were supported to engage in a range of activities both inside and outside the service. People were supported to be as independent as possible with transitioning within the service and looking after themselves with fluids and personal care. Outside the home people were encouraged to try new activities by getting involved in an extensive range of activities from walking to boating to climbing.
People were put first, with a person-centred approach ensuring they were involved as much as possible in their care through goal setting. Their preferences were incorporated into their care plans.
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.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice 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.
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 Good (published 21 July 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.