We carried out a review of the data available to us about The Old Registry on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about The Old Registry, you can give feedback on this service.
About the service
The Old Registry is a residential care home, registered to provide care and support for up to 9 adults with learning disabilities in 1 adapted building. At the time of inspection 8 people were using the service.
People’s experience of using this service and what we found
Right Support
People and relatives told us that the service was good and that they could speak with the registered manager as and when they wanted. One relative told us, “It is a very nice home, staff are lovely and the manager is very welcoming.” There were sufficient staff to meet people’s needs and recruitment processes were safe. The provider had a system in place to record and monitor accidents and incidents. They had links with the wider community in order to help ensure a joined up approach to people’s support.
Right Care
Risks to people were assessed by the registered manager and management plans were in place where risks were identified. The provider had suitable arrangements for the management of medicines. People were protected from the risks associated with the spread of infection. There were systems in place for people and their relatives to give feedback on the quality of the service being provided. Staff had access to a range of policies and procedures to guide them in their roles.
Right culture
The provider had safeguarding policies and procedures in relation to safeguarding people. Staff understood what abuse was and the actions to take if a person using the service was being abused. People told us they felt safe at the service. There was an open and inclusive culture in the service, with staff, people, relatives and other external professionals encouraged to help improve the service provided to people. Staff had a good understanding of the ethos of the service and were clear about their responsibilities.
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
At the last inspection the service was rated requires improvement (published 4 February 2020) and there were breaches of Regulation 12 (safe care and treatment), Regulation 15 (Premises and equipment), and, Regulation 17 (good governance). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
The Old Registry is a residential care home, registered to provide care and support for up to nine adults with learning disabilities in one adapted building. Eight people were using the service at the time of 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’s medicines were not always managed safely because there were instances where prescribed medicines had been administered but not signed for. We also found people had not received their medicines as prescribed. This meant that procedures for administration of medicines were not being followed which put people at risk.
During the inspection we noted there was not an up to date gas certificate in place and three fire doors did not close against the frames and again this put people, staff and visitors to the service at risk. The provider had a range of audit and quality assurance procedures. However, we found these were not robust and had not identified the issues we found.
People were positive about the care and support they received from staff. There were safeguarding procedures in place. Staff had received training of what constituted abuse and how to report any concerns to keep people safe. Risks associated with people's care and support had been assessed. There was guidance to keep people safe. People were protected by safe recruitment procedures and there were enough staff to meet their needs. They were protected from the risks associated with the spread of infection.
People were supported by staff who had received appropriate training and support. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People's needs were assessed before they started to use the service. People were encouraged to have a healthy diet.
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.
Staff knew people who used the service, well and they provided care and support to them in a kind and compassionate way. People were treated with respect and were given information regarding their care and their views were taken into account. The service had a confidentiality policy in place. Staff was aware that people's information should be treated confidentially.
People received care and support in accordance with their preferences, interests and diverse needs. Care plans contained information about people's needs and were reviewed regularly to ensure people received the care and support they needed. Staff encouraged people to take part in activities of their choice and this helped to ensure they were not socially isolated. The provider had a complaints policy in place which included who to contact to raise a complaint and how it would be dealt with.
The registered manager operated an open and inclusive culture where people, relatives, staff and other professionals were encouraged to help improve the service provided to people. Staff had access to a range of policies and procedures and this helped them to carry out their role. The registered manager worked in partnership with other organisations to support and care for people.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection:
At the last inspection the service was rated good (published 17 October 2017). Since this rating was awarded the registered provider of the service has altered its legal entity. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected:
This was a planned inspection based on the registration date of the service. You can see what action we have asked the provider to take at the end of this full report.
Enforcement:
We have identified breaches in relation to medicines management, safety of the premises and quality assurance at this inspection.
Follow up:
We will request an action plan for 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.