Background to this inspection
Updated
3 May 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 was carried out by 1 inspector.
Service and service type
Select Lifestyles Limited - 512-514 Stratford Road 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. Select Lifestyles Limited 512-514 Stratford Road 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
Our first inspection visit was unannounced.
What we did before the inspection
We reviewed the information we had received about the service since our last inspection. We gathered feedback from local authority commissioners who work with the service. 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 of this information to plan our inspection.
During the inspection
We spoke with 3 people and 1 person’s relative to find out what it was like to live at the home. We also used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We spoke with 5 support workers, the registered manager and the deputy manager. We reviewed a range of records which included 3 people’s care records, 4 people’s medication records and 5 staff recruitment files. We also reviewed a range of checks the management team completed to assure themselves people received a safe, good quality service.
Updated
3 May 2023
About the service
Select Lifestyles Limited – 512-514 Stratford Road is a care home without nursing which provides accommodation and personal care for to up to 6 people. Six people lived at the home at the time of this 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.
People’s experience of using this service and what we found
Right support
People received personalised and responsive care and support in line with their needs and wishes. The accommodation met people’s needs and the environment was clean. People were supported to have maximum choice and control of their lives. Staff supported people in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People’s dignity was maintained, their right to privacy was respected and their independence was promoted.
Right Care
The atmosphere was warm and friendly. People felt safe and told us the staff were kind and attentive. Staff had been recruited safely. They knew people well and understood what was important to them. Risks had been assessed and outcome focussed care records helped staff to provide safe and individualised care. People had access to a range of healthcare professionals which supported them to remain healthy and well. People received their medicines when they needed them from trained staff.
Right culture
The culture was person centred and inclusive. This demonstrated significant improvements had been made since August 2022. People and their relatives felt involved and listened to. Staff felt valued and appreciated and they understood what their managers expected from them. The management team had a clear overview of the care and support provided to people. The provider’s governance systems were effective and embedded into practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was inadequate (published 10 October 2022). Following that inspection, we served a warning notice because the provider was in breach of multiple Regulations. We undertook a targeted inspection in November 2022. A rating was not awarded at that time, but the provider had complied with the warning notice and was no longer in breach of the Regulations.
Why we inspected
This inspection was prompted by a review of the information we held about this service. We also 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.