77 Gloucester Road North

Updated 15 April 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

This inspection was carried out by one inspector.

Service and service type

77 Gloucester Road North 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. 77 Gloucester Road North 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 sought feedback from the local authority and professionals 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 this information to plan our inspection.

During the inspection

We spoke with 2 people who used the service about their experience of the care provided and spent time with others observing interactions with staff. We 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 2 members of staff, the service co-ordinator and the registered manager. We spoke with a relative and contacted 2 health and social care professionals about their experience of the service.

We reviewed a range of records. This included 3 people's care records, daily records and medication records. We looked at a variety of records relating to the management of the service, including training data, duty rotas and quality assurance records.

We visited the provider’s head office to review recruitment information for 3 members of staff.

Updated 15 April 2023

77 Gloucester Road North accommodates 7 people with a learning disability in an adapted, detached house. At the time of the inspection there were 7 people living at the service.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted.

Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and/or who are autistic. The registered manager and staff were working in line with these principles including choice, promotion of independence and inclusion.

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

Right Support:

People were supported by staff that knew and understood them well. Staff spoke about people respectfully. The service had enough staff, enabling people to have one-to-one support for them to take part in activities both in the home and the local area they lived in.

People’s medicines were managed safely. Other health and social care professionals were involved in the care and support of the people living in the home.

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 were supported to do the things they liked to do. People received care from staff that had been through a thorough recruitment process. Staff were caring in their approach towards people.

Staff knew what they had to do to keep people safe and knew what to do if they were concerned. Staff had received training in safeguarding adults and were confident if they had concerns these would be acted upon.

Risks to people and staff were assessed, monitored and mitigated as far as reasonably possible ensuring people’s safety.

Right Culture:

The registered manager and staff understood their role in making sure people were at the centre of the care they received. They provided care that was person centred and protected and promoted their human rights.

There were systems to continually monitor the quality and drive improvements. Staff received training relevant to their roles to keep people safe and promoted care that was person centred.

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 good (published 24 October 2018). At this inspection, the service continues to be rated as good.

Why we inspected

We undertook this inspection as part of a random selection of services rated Good and Outstanding.

We looked at the key questions on whether the service was safe and well led. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has continued to be rated as good based on the findings of this inspection.

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.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for 77 Gloucester Road North on our website at www.cqc.org.uk.

Follow up

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