9 January 2023
During an inspection looking at part of the service
231 Brook Lane is a residential care home that can support up to 10 people with a learning disability. At the time of our inspection, 7 people were using the service. The service provides support to adults with a learning disability and/or autism, mental health conditions and physical disabilities.
People's experience of using this service and what we found
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.
Right Support: We found staff training had improved and the provider had systems in place to monitor training, competence and qualifications more effectively. Whilst some staff had not fully completed all their training, we were assured further learning and development opportunities were available for staff. Information provided to us demonstrated staff had been booked to attend various training sessions.
This was a targeted inspection to follow up 1 warning notice served at the previous inspection about number of suitably skilled, qualified and trained staff deployed to meet people’s needs. We use targeted inspections to follow up on Warning Notices or to check concerns. We did not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at the last inspection was required improvement and the report was published on 4 August 2022.
At the last inspection we served a warning notice because we found insufficient numbers of suitably skilled, qualified and experienced staff.
The provider had failed to meet the requirements of Right support: The model of care failed to provide people with the appropriate opportunities to maximise their choices, Right care: Care was not always provided in a person-centred manner and relatives told us they felt people were isolated and Right culture: The leadership in the service failed to create a culture of inclusion which empowered people’s lives
Why we inspected
We undertook this targeted inspection to check whether the warning notice previously served in relation to Regulations 18 (1) (2) (a) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met. Therefore, the overall rating for the service has not changed following this targeted inspection and remains requires improvement.
Enforcement
The provider remains in breach of regulations found at the last inspection. We found breaches in relation to the management of medicines, staff deployment, training, notification of incidents, mental capacity, premises and governance. The service was not able to demonstrate how they were meeting some of the underpinning principles of Right support, right care and right culture.
At this inspection we found improvements had been made and the provider was no longer in breach of regulation 18, staffing. However, improvement is still required to ensure all staff are suitably skilled, qualified and experienced.
Follow up
We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link 231 Brook Lane. View on our website at www.cqc.org.uk