Cavendish House

Updated 27 September 2023

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

The inspection team consisted of an 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 care service.

Service and service type

Cavendish 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. Cavendish 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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

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 received feedback from the local authority. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 3 people who used the service and 3 relatives about their experience of the care provided. We spoke with 5 members of staff including the registered manager, deputy manager, carers and a trustee of the charity. We observed interactions between staff and people who used the service. We received feedback from 2 healthcare professionals and the local authority safeguarding team. We reviewed 4 people's care records including medication administration records (MARs), and 3 staff files in relation to recruitment. We reviewed documentation relating to the management of the service.

Updated 27 September 2023

About the service

Cavendish House is a residential care home providing accommodation to up to 6 people requiring personal care. The service provides support to people with a learning disability and/or autistic people across 1 residential property. At the time of our inspection, there were 4 people using the service.

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.

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

Right Support:

Staff supported people to live as independently as possible and have a great level of autonomy over their lives. People were provided with a choice in their day-to-day decision-making and families were involved in people’s care. People's risks in relation to their care were managed well and staff understood how to maintain and encourage people’s independence. There were sufficient staff to meet people’s needs. We were assured the service was following good infection prevention and control procedures to keep people safe. Healthcare professionals told us that staff worked well with them to achieve positive outcomes for people.

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 Care:

People and their relatives told us they were supported by staff in a kind, caring and dignified way and we observed this throughout the inspection. People's differences were respected by staff and they had undertaken relevant training to effectively support people. This included appropriate training for learning disabilities and autism. People and their relatives told us staff knew people’s needs and preferences well. People's right to privacy was respected. The service was situated in a residential area and there were no outward signs to differentiate it from other houses on the street. Staff encouraged people to be actively involved in their care and provide feedback about their care in a format they could understand.

People’s care plans were detailed and included information on people's healthcare needs, oral care needs, communication needs, preferences and social history. People were supported to enjoy the diet of their choice and staff encouraged them to have a nutritionally balanced diet. People had individual goals and objectives which were regularly reviewed by staff.

Right Culture:

The culture of the service was open, inclusive and empowered people to live as independently as possible. Staff understood their legal responsibilities in relation to people’s cultural and spiritual needs. People, their relatives and staff were complimentary about the service and felt their ideas and concerns would be listened to by the registered manager. Management had undertaken audits to look at ways of improving the service. Staff were complimentary about the registered manager and the charity trustee and told us they were able to raise concerns which would be listened to.

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

Rating at last inspection

The last rating for this service was Good (published 28 September 2017).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.