Background to this inspection
Updated
10 January 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 comprehensive inspection took place on 5 December 2017 and was unannounced. The inspection visit was carried out by one inspector.
182 Ashby Road is a care home located in Burton on Trent, Staffordshire and is owned by Voyage 1 Limited. 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.
182 Ashby Road is registered to provide a care home service without nursing for up to five people with learning disabilities and associated conditions in one adapted building. At the time of the inspection there were five people using the service.
182 Ashby Road met the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
The inspection was informed by information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed information we held about the service. This included statutory notifications the registered manager had sent us. A statutory notification is information about important events which the provider is required to send to us by law. We used this to formulate our inspection plan.
During the inspection we spoke with three people who used the service and observed how staff interacted with them. We spoke with the registered manager, deputy manager and two care staff. We looked at two people’s care records to check that the care they received matched the information in their records. We reviewed three staff files to see how staff were recruited. We looked at the training records to see how staff were trained and supported to deliver care appropriate to meet each person’s needs. We looked at the systems the provider had in place to ensure the quality of the service was continuously monitored and reviewed to drive improvement, such as their quality monitoring audits which included infection control audits and fire safety checks.
Updated
10 January 2018
We inspected this service on 5 December 2017 and the inspection was unannounced and undertaken by one inspector. At our previous inspection in November 2015, the service was meeting the regulations that we checked and received an overall rating of Good. At this inspection we found the service remained Good.
182 Ashby Road is a care home located in Burton on Trent and is registered to accommodate five people. At the time of our inspection five people were using the service.
There was a registered manager in post. 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 oversaw the running of the home and was supported by a deputy manager, senior support workers and support workers.
People continued to receive safe support. There were enough staff to support people and they understood their role in protecting people from the risk of harm. People were supported to understand how to keep safe and risks to people were identified and they were supported to take reasonable risks to promote independent living. Environmental risks within the home were managed well to ensure people’s safety was considered. People were supported to take medicines and records were kept which demonstrated this was done safely. Safe recruitment procedures were in place to ensure new staff were suitable to work with people. People were protected by the systems in place for the prevention and control of infection.
People continued to receive effective support. Staff had the skills to support people because they received support and training. 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 involved in the assessment and reviews of their care; which enabled them make decisions about how they wanted to receive support in their preferred way. People were encouraged to eat a balanced diet that met their preferences and assessed needs and were supported to access healthcare services. People received coordinated support that met their needs and preferences because the registered manager worked with other organisations and healthcare professionals to achieve this.
People continued to receive caring support. There was a good relationship between people and the staff who knew them well and promoted their independence and autonomy. People’s privacy and dignity was respected and upheld by the staff team and people were supported to maintain relationships with those who were important to them.
People continued to receive responsive support. People were supported develop and maintain interests and be part of the local community to promote equality and integration. The registered manager actively sought and included people and their representatives in the planning of care. There were processes in place for people to raise any complaints and express their views and opinions about the service provided.
People continued to receive well led support. A positive culture was in place that promoted good outcomes for people. People were involved in developing the service; which promoted an open and inclusive culture. Staff understood their roles and responsibilities and were empowered by registered manager to develop their skills. The registered manager and provider understood their legal responsibilities and kept up to date with relevant changes. There were systems in place to monitor the quality of the service to enable the registered manager and provider to drive improvement.