The Care Quality Commission
  • Care Home
  • Care home

Martindale Road

Overall: Inadequate read more about inspection ratings

329 Martindale Road, Hounslow, Middlesex, TW4 7HG (01992) 443189

Provided and run by:
Community Integrated Care

Important: The provider of this service changed. See old profile

All Inspections

During an assessment under our new approach

Martindale Road is a care home for up to 7 adults with a learning disability and autistic people. At the time of our assessment, 5 people were living at the service. The assessment started on 8 June 2024 and ended on 14 June 2024. We visited the service on 11 June 2024. We conducted the visit in relation to concerns we had received about staff not following best practice guidance. During the assessment we found evidence of these concerns as well as other concerns. The last rating for this service was requires improvement (published 24 September 2022). At this assessment we found the rating for this service is now inadequate. 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. The service was not able to demonstrate how they were meeting all the underpinning principles of right support, right care, right culture. We identified breaches of 6 Regulations of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 relating to person-centred care, dignity and respect, safe care and treatment, safeguarding service users from abuse, staffing and good governance. This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we use our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of care they provide.

27 June 2022

During a routine inspection

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

Martindale Road is a residential care home providing personal care to seven people at the time of the inspection. The service can support up to seven people.

People’s experience of using this service and what we found

The service was not able to demonstrate how they were meeting some of underpinning principles of right support, right care, right culture.

Right support

People did not always benefit from an interactive and stimulating environment, or frequent support to take part in activities, so they did not have fulfilling and meaningful everyday lives.

Staff did not always communicate with people in ways that met their needs.

Staff enabled people to access specialist health and social care support in the community.

The service gave people care and support in a clean and well-equipped environment that met their physical needs. People and their relatives were able to personalise their rooms.

Staff supported people with their medicines in a way that promoted their safety and independence and achieved the best possible health outcome.

Staff supported people to maintain their health and access healthcare services.

Right care

People did not always receive kind and compassionate care that respected their dignity or promoted good end of life care.

People’s support plans did not always reflect their range of needs to promote their wellbeing and enjoyment of life.

The service had enough staff to keep people safe. Staff had training on how to recognise and report abuse and they knew how to apply it. The service worked with other agencies to do so.

Staff received training and an induction to help them support people.

Right culture

The provider’s monitoring processes were not always effective in helping to ensure people consistently received good quality care and support.

People and those important to them, including advocates, were involved in their care.

Staff turnover was low, which supported people to receive consistent care from staff who could get to know them well.

The provider had a clear vision for the service based on a culture of improvement to enhance people’s quality of life.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection and update

This service was registered with us on 21 June 2021 and this is the first inspection. The last rating for the service under the previous provider was requires improvement, published on 7 October 2020.

Why we inspected

We undertook this inspection to assess that the service is 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.

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 monitor the service and will take further action if needed.

We have found breaches in relation to safe care and treatment, treating people with dignity and respect, person centred care, and good governance at this inspection. You can see the CQC's regulatory response to these concerns 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 continue to monitor information we receive about the service, which will help inform when we next inspect.