Keys Hill Park

Updated 11 June 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection team consisted of an adult social care inspector, a medicines inspector, an assistant inspector and an expert-by-experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of service.

Service and service type:

Keys Hill Park 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. Keys Hill Park can accommodate up to 36 people, 27 people were living in the service at the time of our inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

This inspection was unannounced.

What we did:

Before the inspection we reviewed the information that we held about the service and registered provider. This included any notifications and safeguarding information that the service had told us about. Statutory notifications are information that the service is legally required to tell us about and include significant events such as accidents, injuries and safeguarding notifications. We also assessed the information included on the provider information return.

During the inspection we looked at six people’s care files, three staff recruitment files and a range of documents relating to the day to day running of the service. We also spoke with four people who lived in the service, the relative of one person, the registered manager, deputy manager and four members of care staff.

Updated 11 June 2019

About the service: Keys Hill Park is a care home service. It is registered to provide personal and nursing care for up to 36 younger adults who are living with a learning disability and/or a mental illness. At the time of our inspection 27 people were living in the service. The accommodation was across 11 separate houses on one site with small groups living in each house. Each house had a communal lounge and kitchen.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include choice, control, and independence. People using the service received planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service:

Staff had not completed all of their mandatory set by the provider. Training had been booked for staff to attend.

Action plans had not been put in place to address less favourable responses given by people as a result of the survey. The registered manager told us they spoke with people individually to address any concerns.

People were treated kindly by staff who understood people’s individual needs and preferences.

People and their families were involved in the planning of their care and people met with staff and other health professionals to review their care.

People felt safe living in the service and were cared for by staff who understood how to safeguard people from the risk of abuse.

Risks relating to people’s health and wellbeing had been identified and plans were in place to manage these risks.

Environmental risks had been assessed and measures were in place to mitigate known risks.

People had choice and control over their care and treatment and were supported to maintain their independence.

Staff understood and applied the principles of the Mental Capacity Act 2005 in their day to day works. Best interest decisions were clearly documented.

Medicines were being managed safely in the home.

Activities took place in the home and people could access employment, education and social activities in the local community.

People attended regular meetings to discuss their concerns. Staff also met regularly to discuss the service and people’s care needs.

There were quality assurance systems in place to monitor and assess the quality and safety of the service.

Rating at last inspection: Good (report published 30 September 2016).

Why we inspected: This was a scheduled inspection based on the previous rating.

Follow up: We will continue to monitor intelligence we receive about the service until we return to inspect as per our re-inspection programme. If any concerning information is received we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk