23 May 2022
During a routine inspection
About the service
Gateway House is a residential care home providing accommodation and personal care to up to 6 people. The service provides support to people with a learning disability and autistic people. At the time of our inspection there were 2 people using the service. The property consisted of 6 individual flats with separate facilities and some shared communal areas.
People’s experience of using this service and what we found
Right Support
The model of care and setting maximised people's choice, control and independence. People were involved in planning their care and future goals. Staff supported people with independent living skills and people could choose their own activities. People’s environment was decorated to meet their sensory needs, which they were involved in decorating to their individual likes. People were doing regular activities they enjoyed and were supported to maintain relationships.
Right Care
Care was person-centred and promoted people's dignity, privacy and human rights. Staff supported people to make healthy food choices and supported people to maintain a cultural diet. Staff communicated with people in a respectful and caring way in line with their communication needs. Care plans and risk assessments were person-centred and staff were trained and knowledgeable in meeting people’s individual needs.
Right culture
The ethos, values, attitudes and behaviours of the leaders and care staff ensured people using the service led confident, inclusive and empowered lives. There was an open and transparent culture and there was a homely atmosphere. Staff and relatives told us they were supported by the registered manager. Staff supported people to achieve their individual aspirations. Quality assurance and audit systems were in place to maintain and continuously improve quality and safety of the service but needed strengthening to ensure they were identifying all shortfalls.
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 whether the service was applying the principles of Right support, right care, right culture. This service was registered with us on 26 March 2021 and this was the first inspection.
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.
Enforcement
We have identified breaches in relation to infection control, medicines and governance at this inspection.
Please see the action we have told the provider to take at the end of this report.