Background to this inspection
Updated
16 August 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
Miles House - 4 Hentland Close 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
This inspection was unannounced.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with two people who used the service and observed interactions within the communal areas. We spoke with five members of staff including support workers, team leaders and the residential manager who was covering management duties in the absence of the registered manager. We also spoke with a visiting healthcare professional who regularly visited the service.
We reviewed a range of records. This included four people’s care records and multiple medication records. A variety of records relating to the management of the service, including policies and procedures were also reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
16 August 2019
About the service
Miles House- 4 Hentland Close is a residential care home providing accommodation and personal care to up to five people with a diagnosis of learning disability, autistic spectrum condition or a physical disability. There were five people living at the home at the time of our 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 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 felt safe. Systems protected people from the risk of abuse and harm. Medicines were managed safely. Staff had the experience, training and knowledge to meet people’s healthcare needs.
People were treated with dignity and respect and were encouraged to maintain their independence. Staff showed warm and caring attitudes to the people that they supported.
The care and support people received reflected their personal needs and preferences.
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 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.
People were supported to access appropriate professionals and services to ensure care remained responsive to their individual needs.
Processes were in place to monitor and improve the quality of the service, there was a culture of openness and of reflection and learning from any reported incidents.
We had concerns which we expressed to the manager about the understanding of the mental capacity act and how best interest decisions were applied. The residential manager contacted the best interest assessor who was going to review best interest documentation following the inspection.
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 (report published 25 February 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.