28 June 2022
During a routine inspection
About the service
Old Hospital Close (12) is a residential care home providing personal care. Five people lived there at the time of our inspection.
People’s experience of using this service and what we found
Right culture
Staff did not feel that management were always visible or approachable in the service. Staff put people’s needs and wishes at the heart of everything they did. People personalised their rooms and were included in decisions relating to the interior decoration and design of their home
Right support
Governance processes were not always effective in providing good quality care and support. Staff had training on how to recognise and report abuse and they knew how to apply it. People, including those unable to make decisions for themselves, had as much freedom, choice and control over their lives as possible because staff managed risks to minimise restrictions. The service worked well in partnership with advocacy organisations and other health and social care organisations, which helped to give people using the service a voice and improve their wellbeing.
Right Care
Staff were patient and used appropriate styles of interaction with people. Staff were calm, focussed and attentive to people’s emotions and support needs such as sensory sensitivities. People had the opportunity to try new experiences, develop new skills and gain independence. People had individual communication plans/ passports that detailed effective and preferred methods of communication, including the approach to use for different situations.
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 14 September 2018)
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support right care right culture.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Enforcement and Recommendations
For enforcement decisions taken during the period that the ‘COVID-19 – Enforcement principles and decision-making framework’ applies, add the following paragraph: We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
We have identified a breach in relation to good governance at this inspection.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.