Background to this inspection
Updated
21 July 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 Health and Social Care Act 2008.
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
Lupin House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Lupin House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service such as Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with three people and three relatives about their experience of the care provided. We spoke with six members of staff including two support workers, the registered manager, deputy manage, compliance manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records. This included two people's care records and two peoples medicine records. We looked at a staff file in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were also reviewed. We also spoke with a healthcare professionals who was involved in a person’s care.
Updated
21 July 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
Lupin House is a small residential care home providing accommodation and personal care to up to four people. Lupin House is situated in the suburbs of Nuneaton town and is a short walk away from local amenities. The service provides support to autistic people and people with a learning disability. At the time of our inspection there were four people using the service.
People’s experience of using this service and what we found
The service was able to demonstrate how they were meeting the underpinning principles of Right Support, Right Care, Right Culture. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Right Support
The model of care and setting maximised people’s choice and control. People lived the lives they wanted to live and had regular opportunities to pursue social interests and be part of their local community. Staff encouraged people to engage in meaningful activities within the home and promoted people’s independence.
Right Care
Staff promoted people's dignity, privacy and human rights. People were involved in decisions about their care and empowered to make decisions about support they received. Staff used a variety of communication methods to support people to make every day decisions.
Right Culture
The home had a person-centred culture which empowered people to achieve their goals and fulfil their aspirations. Systems were effective in identifying and ensuing people live the life they wanted. Leaders promoted a culture where staff promoted people’s best interests.
People were safeguarded from the risk of abuse and told us they felt safe. There were enough staff to provide safe, compassionate and person-centred care. Risks to people’s physical health and emotional wellbeing were identified, assessed and managed safely and medicines were managed safely. People told us they received high quality care from staff who cared about their wellbeing.
However, systems and processes did not always identify where improvements were needed with record keeping.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 22 July 2022 and this is the first inspection.
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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.