10 May 2022
During a routine inspection
About the service
61 Kings Road Harrogate, is a residential care home providing personal and nursing care to five people at the time of the inspection. The service supports people with a learning disability and/or autism and people who have a visual impairment. The service can support up to five people. 61 Kings Road Harrogate, is a large terrace house with bedrooms, a shared bathroom and communal living areas across three floors.
People’s experience of using this service and what we found
Right Support
The service supported people to have the maximum possible choice, control and independence. Staff focused on people’s strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life. People were supported by staff to pursue their interests. The service gave people care and support in a safe, clean and well-furnished environment that met their sensory and physical needs. Further maintenance was on-going in people’s bedrooms and to personalise communal spaces recently redecorated. Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome.
We recommended the provider reviewed their quality checks of medicines.
Right Care
People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs. The service had enough appropriately skilled staff to meet people’s needs and keep them safe most of the time. Staffing needed reviewing for evenings and weekends when this was reduced and we made a recommendation around this. People’s care, treatment and support plans did not always reflect their range of needs and support required. However, people received care that supported their needs due to stable and consistent staff team. There was a lack of clarity and monitoring of people’s goals, aspirations and quality of life; we made a recommendation around this. People could take part in activities and pursue interests that were tailored to them. The service gave people opportunities to try new activities that enhanced and enriched their lives. The provider had created a day service and a range of activities including paid employment to enrich people’s lives, build on skills and independence and enable social interaction with peers.
Right culture
People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff. Staff knew and understood people well and were responsive and supported them to live a life of their choosing. Staff placed people’s wishes, needs and rights at the heart of everything they did. The service enabled people and those important to them to give feedback and be involved in the persons care and treatment. Staff valued and acted upon people’s views. Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
We undertook this inspection to assess that the service is applying the principles of right support right care right culture. We also inspected this service to provide the new provider with a rating.
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
The last rating for the service under the previous provider was good, (published on 2nd February 2019).
For more details, please see the full report which is on the Care Quality Commission’s (CQC) website at www.cqc.org.uk.
Enforcement
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.
We have identified breaches in relation to good governance and safeguarding at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from 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.