Background to this inspection
Updated
27 March 2020
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.
Inspection team
The inspection team consisted of one inspector.
Service and service type
Colne House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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 the inspection
We reviewed information we had received about the service since the last inspection. We also sought feedback from partner agencies including the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all this information to plan our inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with two people who lived at the service. We spoke with three relatives about their experience of the care provided. We spoke with four members of staff including the registered manager. We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at two staff files in relation to recruitment, staff supervision and training. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at a range of evidence and quality assurance records.
Updated
27 March 2020
About the service
Colne House is registered to provide accommodation for persons, with learning disabilities or autistic spectrum disorder, who require personal care. The home can accommodate up to eight people. At the time of our inspection five people were living at the service.
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 control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
There was an open, person centred culture that promoted good practice. People told us they were happy with the care they received. Staff and relatives were positive about the culture and ethos of the home. The registered manager led by example and was respected by staff. Staff reported a high level of job satisfaction.
People reported feeling safe. Staff were knowledgeable about safeguarding people and when to raise concerns. People received their medicines safely and recruitment practices were safe. Risks associated with people’s care were assessed and monitored. Systems to manage environmental risks such as fires safety were robust.
Assessments were person centred and care was responsive to people’s needs. There was an established staff team that was motivated and well trained to carry out their roles effectively. The home was accessible and had been adapted to meet people’s needs.
A committed and caring staff team treated people with dignity and respect. People’s communication needs were met. Staff consulted people about the running of the service in regular service user meetings.
Staff supported people to have maximum choice and control of their lives and supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
The last rating for this service was good (published 9 September 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.