Background to this inspection
Updated
22 March 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: The inspection was carried out by one inspector and a specialist advisor. This is a person with knowledge and skills about this type of service and expertise in learning disability care.
Service and service type:
Kanner Project (known as Kanner) 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.
Kanner provides care and accommodation for up to five people with learning
disabilities. On the day of our visit four people were living in the service and each had their own self-contained living accommodation within the home.
The service a manager registered with the Care Quality Commission. Registered managers 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:
The first day of the inspection was unannounced.
The inspection took place on 7 and 11 March 2019.
What we did:
Before the inspection, we reviewed:
• The Provider information return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
• Notifications we had received. These are events within the service the provider is required to tell us about.
• The previous inspection report.
During the inspection we met everyone currently living at the service, we:
• Reviewed 4 people’s care records.
• Reviewed records of accidents, incidents.
• Discussed the complaints process.
• Reviewed audits and quality assurance reports
• Observed the care of people where possible.
• Observed staff interaction with people.
• Spoke with staff about their training, support and people’s needs.
We spoke with:
• One relative
• 6 Staff members
• The deputy manager
• The registered manager
• The regional manager
• The local authority improvement team
• The local learning disability service
• The local advocacy service
Updated
22 March 2019
About the service
Kanner provides care and accommodation for up to five people with learning
disabilities. On the day of our visit four people were living in the service and each had their own self-contained living accommodation within the home.
People’s experience of using the service
People using the service benefitted from caring, dedicated staff. People living at Kanner were unable to verbally express their views to us but we observed they looked comfortable and at ease with staff. Relatives told us their family members were treated with kindness, compassion and respect.
People were placed at the heart of the service and involved in decisions as far as possible. People’s family, professionals and advocates told us people’s care was individualised.
People’s care was provided safely. The staff team were consistent, staff knew people well and supported them to move safely around the service if needed, and when they were out of the home.
People’s medicines were well managed.
People’s risks were known and managed well, promoting independence as far as possible. Positive behavioural support plans were in place for staff to follow to support their care of people.
People were protected from discrimination because staff knew how to safeguard people. Staff knowledge of people meant they were alert to signs of change which may indicate someone was not happy.
People lived in a service which had a positive culture and was led by a committed registered manager and staff team.
Kanner had worked hard to develop good relationships with local professionals supporting people’s care for example the local authority, commissioners and learning disability service.
Rating at last inspection:
At the last inspection the service was rated as Requires Improvement (The last report was published 8 August 2018). At this inspection the overall rating had improved.
Why we inspected:
This was a planned inspection to look at improvements the service had made following the previous rating. At this inspection we found improvements had been made. People’s risks relating to their health needs and the environment were known and care planned. Incidents were recorded and monitored for any themes and to reduce the likelihood of a reoccurrence. The environment had improved for people and staff working at the service. Maintenance was on-going to promote safety. The leadership at the service was stable. Monitoring of the service to ensure the quality and safety of people was undertaken.
Follow up:
We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. Further inspections will be planned based on the rating. If we receive any concerns we may bring our inspection forward.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk