Background to this inspection
Updated
14 November 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 was carried out by one inspector.
Service and service type
Trescott 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
This inspection was unannounced.
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 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 this information to plan our inspection.
During the inspection
We met all of the people living at the home. We spoke with two support workers, a senior support worker and the registered manager. We also spoke with a professional who regularly visited the service. We looked at two people’s care records, medicines records, complaints, health and safety and quality assurance records. We also looked at two staff recruitment files.
After the inspection
Not all of the people living at the home were able to tell us about their experiences; so we spoke to two relatives and an independent advocate.
Updated
14 November 2019
About the service
Trescott Road is a residential care home providing personal care to up to seven people with complex disabilities. At the time of the inspection there were five people living at the home.
Trescott Road accommodates five people in one adapted building.
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
Some people living at the home were unable to share their experiences with us, however relatives and visiting professionals told us they were confident people were safe. Staff knew how to identify and report concerns relating to people’s safety. Risks were assessed and managed to reduce the risk of avoidable harm. People received support to take their medicines safely. Staff were safely recruited.
Staff received training relevant to their role and understood people’s individual needs well. People were offered a choice of food and drink and where people had specific dietary requirements these were managed safely. People received support to manage their healthcare needs and staff worked proactively with other professionals to ensure people’s needs were met.
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. Decisions about people’s care and treatment were made in line with law and guidance.
People were supported by a caring staff team who respected people’s diverse needs and individual preferences. Staff supported people to make day to day decisions and understood the importance of maintaining people’s daily routines and choices. People were supported to maintain their independence and their dignity was valued and respected.
People were supported by a staff team who knew them well and understood their needs and preferences. People and their relatives were involved in the assessment and planning of their care. People were supported to participate in activities and follow their own interests. Relatives and visiting professionals knew how to raise a concern if they were unhappy about the care people received. The registered manager had responded appropriately to recent complaints.
Relatives, visiting professionals and staff felt the home was well managed. The registered manager had made improvements since the last inspection and were looking to further develop the quality of care people received. People and staff were given opportunities to share feedback about the service. The registered manager and senior staff undertook regular auditing to ensure the quality of care provided.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
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.
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 24 December 2016).
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.