Background to this inspection
Updated
16 June 2022
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.
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
One inspector carried out the inspection.
Service and service type
101 Cheam Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. 101, Cheam Road does not provide nursing care.
The service had a manager registered with the Care Quality Commission. This is a person, who with the provider, are legally responsible for how the service is run and for the quality and safety of the care provided. It is a requirement of their registration with the Care Quality Commission to have a registered manager.
Notice of inspection
We gave a short period of notice of the inspection due to the risks associated with the Covid-19 pandemic.
What we did before inspection
Prior to the inspection we reviewed the information we held about the service, including statutory notifications received. We used all this information to plan our inspection.
During the inspection
We communicated with all five people who used the service about their experience of the care provided. We spoke with three members of care staff, the deputy manager and the registered manager.
We used the Short Observational Framework for Inspection (SOFI) and spent time observing people. SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records. This included three people’s care records and three people’s medicines records. We looked at staff training and supervision records. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We spoke with three relatives and we continued to seek clarification from the provider to validate evidence found and reviewed additional management records sent. We looked at training data and quality assurance records. We spoke with two professionals who regularly visit the service.
Updated
16 June 2022
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
101 Cheam Road is a residential care home providing personal care to five people with learning disabilities, epilepsy and autism. The service can support up to seven people.
People’s experience of using this service and what we found
Right Support
The service provided support to people in a clean and safe environment. Refurbishment works were in the process of being carried out with some work already completed, such as the newly decorated kitchen and lounge and replacement flooring throughout the home. Repair work was still required on the downstairs bathroom flooring as was the refurbishment of people’s bedrooms and the annexe. We saw these works were on the maintenance schedule and we were told by the deputy manager it was planned for this work to be carried out soon.
People benefitted from an interactive and stimulating environment.
People were encouraged to be as independent as possible and had choice and control over how they were supported. People’s risks were assessed and the risk management plans in place informed staff how to protect people from abuse.
The service made reasonable adjustments for people so they could be fully involved in discussions about how they received their support, including support in the community.
Staff enabled people to access specialist health and social care support.
Staff supported people to make decisions following best practice in decision-making. Staff communicated with people in ways that met their needs.
Right Care
People’s care and support plans reflected how their needs would be met. Their plans included information about how to support people’s wellbeing and their wishes to maximise their enjoyment of life.
People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to people’s individual needs.
Staff were trained to meet people’s changing needs effectively. Staff had training on how to recognise and report abuse and they knew how to apply it.
People’s privacy was protected.
Staff administered medicines safely and ensured the environment was clean.
People ate well and chose how they received their personal care.
People were able to access health services regularly and healthcare professionals were involved in supporting people’s wellbeing.
Right culture
Good quality assurance and a wide range of service audits were in place and were used to identify where improvements were needed. The service worked hard to make timely improvements to enhance people’s quality of life.
People and those important to them were involved in planning their care. Staff asked people, their families and other professionals for their views about the service.
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
The last rating for the service under the previous provider was good, published on 17 December 2019.
Why we inspected
We undertook this comprehensive inspection to check whether the service was applying the principles of right support, right care, right culture.
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.
The overall rating for the service is good. This is based on the findings at this inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect. If we receive any concerning information we may inspect sooner.