Background to this inspection
Updated
5 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 team consisted of one inspector.
Service and service type
362 Park Road 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
We gave the service 24 hours' notice of the inspection. This was because the service is small and the person using the service and staff are often out; we wanted to be sure they would be around to speak with us.
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. 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 the person using the service, one relative, the registered manager, deputy manager and a support worker. We reviewed one care plan and medicines records. We reviewed two staff recruitment files and information relating to the induction, training and supervision of staff. We saw records of internal and external safety checks of the premises. We looked at audits to monitor and improve the service and the processes and other records relating to the day to day management of the service, including policies and procedures.
Updated
5 December 2019
About the service
362 Park Road is a residential care home. This service supports people with learning disabilities and/or autism; The service is registered to care for one person; there was one person living at the service at the time of the inspection.
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 the person who used 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. The person using the service received planned and co-ordinated person-centred support that is appropriate and inclusive for them.
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 the person.
People's experience of using this service and what we found
The person and their relative were happy with the support they received and felt safe living at the service. Staff knew what to do to keep the person safe and were confident any concerns would be taken seriously. Risks to the person's well-being and safety were assessed, recorded and kept up to date. Staff supported the person to manage these risks effectively. The person received support to take their medicines safely.
Staff had the skills and knowledge they needed to meet the person's needs. They received regular support, guidance and supervision to enable them to provide effective care and support. Staff supported the person to maintain their health and well-being and access the healthcare they needed. The person was 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 person was supported by staff who knew them well, respected their individuality and diversity, and treated them with respect.
The person was supported to develop care plans that were specific to them. These plans were regularly reviewed to keep them up to date. The person was supported to maintain relationships with people who were important to them, pursue hobbies and interests and be a part of their local community.
The registered manager provided clear and consistent leadership and support for staff to be able to do their job effectively. The provider's quality assurance processes were effective in driving improvements to the service.
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 28 April 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.