Archived: Lataya House

Updated 13 January 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 Care Act 2014.

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

Two Inspectors and an Expert by Experience carried out the inspection. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. Two inspectors visited the service on two days. Additionally, one of the inspectors visited the service one evening and early in the morning. The Expert by Experience made phone calls to relatives to gain their feedback.

Service and service type

Lataya House 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.

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 inspection

We reviewed information we had received since the provider registered the service with CQC. We contacted the local authority commissioning and safeguarding teams for information about the service. The provider was not asked to complete the required Provider Information Return. This is information providers are required to send us with key information about the service, what it does well and improvements they plan to make. We took this into account in making our judgements in this report.

This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We communicated with four people who used the service and three relatives about their experience of the care provided. Some people were unable to talk with us and used different ways to communicate including signs, pictures, gestures, vocalisations and body language. We also observed people and their interaction with staff and each other throughout the inspection visits. We received feedback from six health and social care professionals who work with people living in the service.

We spoke with 10 members of staff including the registered manager, senior support staff and support staff. This included agency and permanent members of the team.

We used the Short Observational Framework for Inspection (SOFI) and spent time observing people. SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included four people’s care records and medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including quality assurance audits, policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 13 January 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

Lataya House is a residential care home providing personal care to four children and young adults at the time of the inspection. The service can support up to six people.

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

Right support

• The service worked with people to plan for when they experienced periods of distress so their freedoms were restricted only as a last resort. The service recorded when staff restrained people, and staff learned from those incidents and how they might be avoided or reduced.

• The service gave people care and support in a safe, clean, well equipped, well-furnished and well-maintained environment. People’s physical and sensory needs were met although at times the service could become busy and this could mean sensory overload for some people.

• Staff supported people to take part in activities and pursue their interests although this could be planned in advance better.

• Staff enabled people to access specialist health and social care support.

• Staff supported people to make decisions following best practice in decision-making. Staff communicated with people in ways that met their needs although this sometimes differed to information in their care plans

• Staff supported people with their medicines safely and in their preferred way.

• The service supported people to have the maximum possible choice and control over their own lives.

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.

• Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.

• The service had enough appropriately skilled staff to meet people’s needs and keep them safe. Turnover in the staff team meant some staff did not yet know people well.

• People’s care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life.

• Staff and people assessed the risks people might face. Some areas of recording of people’s daily care needs required strengthening.

Right culture

• People received good quality care, support and treatment because trained staff and specialists could meet their needs and wishes.

• People and those important to them, including social care professionals, were involved in planning their care.

• The registered manager worked hard to evaluate the quality of support provided to people, involving the person, their families and other professionals as appropriate.

• 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

Rating at last inspection

This service was registered with us on 12 October 2021 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’.

The inspection was prompted in part due to concerns received about whether restraint was used appropriately, and the culture of the service. A decision was made for us to inspect and examine those risks.

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 until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.