Franklyn Crescent

Updated 6 June 2023

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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection

outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by 1 inspector.

Service and service type

Franklyn Crescent is a 'care home'. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Franklyn Crescent is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage

the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post but the nominated individual was in the process of applying to be the registered manager.

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. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 1 person who used the service, 1 relative and a social worker. We also spoke with 5 members of staff including the nominated individual who was also the provider. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also received information by e-mail from a health professional.

We reviewed a range of records, this included 1 person's care records. We looked at their medicines' records and 2 staff files in relation to recruitment. A variety of records relating to the management of the service including water and fire safety were also reviewed, including incident records, compliments, quality assurance processes, audits and policies and procedures.

Updated 6 June 2023

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Franklyn Crescent is residential care home providing accommodation and personal care to up to 3 people. The service provides support to people with a learning disabilities or autistic spectrum disorder, older people, people living with dementia, people with a physical disability and people with a mental health condition. Each person’s accommodation included en-suite facilities with shared communal bathroom, dining, and lounge areas. At the time of our inspection there was 1 person using the service.

Based on our review of is the service safe, effective, caring, responsive and well-led questions, the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right support

Not all risks were safely managed, including medicines, administration, and food hygiene. The nominated individual addressed these matters promptly, but until we highlighted these, actions had not been taken. This created a risk of harm. Staff supported people with their medicines in a way that respected their independence.

Staff supported people to have the maximum possible choice, control to be independent and they had control over their own lives. The service gave people care and support in a safe environment that was clean and suitably equipped to meet people's physical and emotional needs. Staff complied with measures designed to reduce the risk of infections spreading within the service.

Staff focused on people's strengths and promoted what they could do, enabling the opportunity for people to lead fulfilling and meaningful lives. One person was proud to show us the artwork they had completed at college.

Staff supported people to pursue their interests inside and outside the home. People had aspirations and goals which staff helped people achieve and go on to further goals. A staff member said, “Since living at Franklyn Crescent, the person has gone from strength to strength. It is not always easy but we are making good progress doing things in a step at a time. Sometimes forward, or back, but always with people at the heart. ”

Staff received effective training in the use of restraint and were confident in their ability to deploy this training. At the time of our inspection no person required restraint. Any restraint would be in an emergency situation as a last resort and for the shortest time possible. Staff supported people to make decisions following best practice in decision-making. Staff communicated with people in ways that met their needs.

Staff enabled people to access the community and pursue their interests in their local area. People were administered their medicines in a way that respected their independence and achieved the best possible positive health outcomes. However, the provider would benefit from accounting for the medicines held in stock. One relative told us they always ensured medicines were administered when their family member visited.

Right Care

Staff focused on and promoted people's equality and diversity, supporting, and responding well to their individual needs. This changed people's lives for the better. One person was proud to show us their newly acquired water play feature.

People helped create and review their care plans when they chose to, and as such were a reflection of the support they needed and what people could do independently. Staff had training on how to recognise and report abuse, and had the skills protect people from poor care and abuse, or the risk of this happening. The service worked with other agencies to do so. The service had enough appropriately skilled staff to meet people's needs and keep them safe. All those we spoke with felt people were safe and had enough support to do this.

Staff had a thorough understanding of people's individual ways of communicating and this enabled people to be listened to. People received care that supported their needs and aspirations, was focused on their quality of life, and followed best practice.

Right Culture

People were supported by staff who understood best practice in relation people's strengths, impairments, or sensitivities for people with a learning disability and/or autistic people may have. Staff knew people exceptionally well and responded to their needs and wishes. Staff's diligence and persistence enabled people to exceed their aspirations. This helped people live a meaningful life full of opportunities they might otherwise not have had. One person was now settled in the service having not seen this success for over 10 years.

Staff put people's wishes, needs and rights at the heart of everything they did. Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity. People, relatives, staff and health professionals had a say in how the service was run.

The ethos, values, attitudes and behaviours of leaders and care staff ensured people using the service lead confident, inclusive and empowered lives.

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.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk

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.

Rating at last inspection

This service was registered with us on 8 June 2020 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.