Background to this inspection
Updated
2 March 2022
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.
As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 04 February 2022 and was announced. We gave the service two hours notice of the inspection.
Updated
2 March 2022
About the service
Potential Limited – 7-9 Park Road is a residential care service that provides accommodation and support for a maximum of 21 adults living with a learning disability and/or autism. At the time of the inspection 12 people were using the service.
The service now 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. People were supported to gain new skills and become more independent.
People’s experience of using this service and what we found
At our previous inspection in July 2018 the service was in breach of Regulations. At this inspection we found enough improvement had been made and the provider was no longer in breach of regulations.
Consent forms were reviewed and updated and now included information about people’s capacity to make decisions. The forms were regularly reviewed and updated and signed to show the involvement of the person and where appropriate relevant others.
People were supported to have 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.
The providers systems for monitoring the quality and safety of the service were now effective in identifying and actioning areas for improvement. Lessons were learnt following the last inspection which led to people experiencing better outcomes.
The amount of people occupied at the service had reduced and the provider had plans to reduce this further bringing the design of the service in line with the principles and values that underpin Registering the Right Support and other best practice guidance. Changes made to people’s support and staff practise provided more opportunities for people to gain new skills and become more independent. Changes to the environment made it homelier and more relaxed.
People were protected from the risk of abuse and harm. Staff had completed safeguarding and health and safety training and they understood their responsibilities for keeping people safe. People were supported to take positive risks as part as an independent lifestyle. Medicines were safely managed and administered to people at the right time. There was a system in place for reporting and learning from accidents and incidents.
People’s needs were assessed and planned for with their involvement. Care plans provided clear guidance for staff on how to support people to achieve effective outcomes. People had regular access to the healthcare services they needed. Whilst people told us they got a choice of food and drink; the menus did not include a choice and the lunch time meal on the first day of inspection did not reflect the menu. The manager agreed to action this.
Staff told us they liked the staff and they were kind and caring. Staff had formed positive relationships with people and their interactions were friendly and familiar. People told us staff respected their privacy, they told us staff always knocked on their doors before entering their bedrooms. People’s views about their care and support was regularly obtained through meetings and care reviews.
Care plans reflected people’s needs and choices in a personalised way and people received care and support which was responsive to their needs. People were supported to access a range of social activities and supported to maintain relationships with those close to them. People were provided with information in formats which they could easily access and understand. People knew how to complain and were confident about speaking up.
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 requires improvement (report published 17 October 2018)
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.