We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.About the service
179 Green Lane is a care home providing personal care for up to 5 people. At the time of our inspection, there were 4 people using the service. The service supported autistic people, people with learning disabilities and mental health needs.
People’s experience of using this service and what we found
This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right Support: There was an open culture which supported people to set goals and achieve the outcomes they wanted. Staff knew people's care and support needs well and people were empowered to make decisions about their care.
Right Care: Staff were caring and compassionate towards the people they supported. People felt proud of their appearance and were encouraged to interact and communicate freely. Staff supported people to learn new skills, try new activities and maintain important contacts to them.
Right Culture: Values of the service were aimed at transparency and on-going improvement. There was a high morale within the staff team which led towards good working relationships and empowering of people to choose the way they wanted to live their lives.
Although people were encouraged to have control over their lives and staff supported them in the least restrictive way possible, people's risk assessments were not always individualised. Quality assurance processes in place to assess and monitor the care provision were not always operated effectively because the provider had failed to pick up the issues we identified during our inspection. We made recommendations about this.
Staff followed people's medicine management procedures and there was on-going management oversite to ensure safe care delivery. Infection control and prevention guidance was in place, including the recommended safe practice associated with COVID-19 aimed to prevent people and visitors from catching and spreading infections. There was enough staff to support people to attend the activities of their choice. Appropriate recruitment checks were completed before staff started working with people.
Records in relation to the Mental Capacity Act (2005) required reviewing making sure the provider had met the legal requirements. The staff team were in the process of attending all the necessary refresher courses. Although staff were observed on the job, the checks were not appropriately recorded. Staff were continually supervised to ensure they carried out their role responsibilities as necessary. People received support to attend to their health needs and follow a balanced diet where required.
People looked at ease in presence of staff who supported their privacy and dignity. Family members felt the service was meeting all their expectations and hopes. Staff used appropriate communication to interact with people and encouraged their involvement in conversations.
People were engaged and attended a number of activities that suited their interests and preferences. We observed people being excited and eager to attend to their daily activities. Any concerns received were dealt with quickly and in good time so that matters arising did not escalated.
There was good leadership at the service and a values driven culture with support for the staff team. Family members felt they had effective communication with the service and were involved in the matters arising regarding their relatives as and when necessary. Regular checks were carried out by the staff team to ensure good care and support 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
This was the first inspection of the service since the new provider took over and registered the service with the CQC on 1 December 2020.
Why we inspected
This was a planned inspection based on when the service registered with us.
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.