Background to this inspection
Updated
21 December 2019
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
Potensial Limited-2, Belgrave Terrace 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.
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 information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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. We used all of this information to plan our inspection.
During the inspection
We spoke with six people who used the service and one relative about their experience of the care provided. We spoke with five members of staff including the area manager, the registered manager and three support workers.
We reviewed a range of records. This included three people's care records and two medicine records. We looked at three staff files in relation to recruitment and staff training. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.
Updated
21 December 2019
About the service
Potensial-2, Belgrave Terrace provides accommodation and personal care to adults with learning disabilities in one building. At the time of inspection six people were using the service.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
The service was registered to accommodate up to eight people, in a large domestic style property. This is larger than current best practice guidance. However, the size of the service was not having a negative impact on people as the building design fitting fitted into the residential area which had other large domestic homes. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.
People’s experience of using this service and what we found
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 home was a large, three storey building. Areas of the building were showing signs of wear and tear internally and externally. Most risks to people’s safety including any environmental risks were well-managed. Where improvements to manage any risk were identified at inspection, the provider sent an action plan immediately after the inspection with planned dates for action.
Arrangements for managing people's medicines were safe. People enjoyed their meals and their dietary needs had been catered for. There were opportunities for people to follow their interests and hobbies. They were supported to be part of the local community and to go on holiday.
Information was accessible to involve people in decision making about their lives. 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 support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
Staff received training and knew the people they were supporting well. Care plans detailed how people wished to be supported. Staff had developed good relationships with people, were caring in their approach and treated people with respect. People and relatives were kept informed and involved in decision making about people’s care.
The registered manager monitored the quality of the service through complaints, feedback received from people, their relatives, staff and external agencies. Audits also took place and these were mostly effective apart from the areas that were identified and put right during and immediately after the inspection.
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 9 May 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.