Background to this inspection
Updated
19 March 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
Station Road is a ‘care 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 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
We gave the service a short period of notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home.
What we did before the inspection
We reviewed information we had received about the service since the last inspection and sought feedback from the local authority. 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.
During the inspection
We spoke with three people who used the service and contacted two relatives by telephone to seek their views. We also spoke with the registered manager and four members of staff. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records. This included two people’s care records, medication records and a variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
19 March 2020
About the service
Station Road - Holmes Chapel is part of the David Lewis organisation providing accommodation for up to four people who require support with their daily lives. At the time of our inspection there were four people using the service. The two-storey property is close to shops, public transport and other local amenities.
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.
People’s experience of using this service and what we found
People were protected from abuse by trained staff who were aware of the procedures to follow should abuse occur. Risks were assessed to reduce the risk of avoidable harm and where appropriate, specific equipment to manage identified risks was in place. People were supported to receive their medicines safely. Medicines were administered by staff who had received appropriate training and their competency to do so checked. There were sufficient staff to meet people’s needs. Safe recruitment procedures were followed to ensure only suitable staff were employed.
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 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.
People were supported to maintain their health and well-being with access to a wide range of health and social care professionals.
Staff were caring and people were treated respectfully, their privacy was respected and independence promoted. People and family members were able to express their views and were listened to. People were supported to express themselves as they chose without fear of discrimination or judgement.
Support was individualised and person-centred. People’s communication needs were considered and reflected within detailed communication profiles. Staff received extensive training and guidance to meet people’s communications needs. There was a procedure to handle and respond to complaints which was available in an easy to read format.
The service was well-led and there was a positive and inclusive culture throughout the service. Systems were in place to assess and monitor the quality of the service. The registered manager and staff demonstrated a desire to provide high quality care with the people who use the service at the heart.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection (and update) The last rating for this service was good (published 05/09/2017).
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.