Background to this inspection
Updated
31 August 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 Care Act 2014.
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
Coopers @ Ambleside 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. Coopers @ Ambleside is a care home without nursing care. 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. The registered manager was not available during the inspection process.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection. Inspection activity started on 08 August 2023 and ended on the 11 August 2023.
What we did before the inspection
We reviewed information we had received about the service since their registration. We sought feedback from the local authority and professionals who work with the service. 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 used all this information to plan our inspection.
During the inspection
We spoke with 1 person staying at the home, 4 relatives, 2 deputy managers and the operation lead person. In addition we spoke with 4 staff support workers. We looked at a range of records. These included 2 people’s care records, 2 staff recruitment files, training records, and audits of the service.
Updated
31 August 2023
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.
About the service
Coopers @ Ambleside offer respite care for adults with a learning disability, with complex needs, challenging behavior and autism. The building is purpose built to support up to 6 people. At the time of the inspection 4 people were staying at the home.
People’s experience of using this service and what we found
Right Support:
The service supported people to have choices and promoted their independence. Staff had completed training to ensure they understood the meaning of the service they provide. A staff member said, “The training is really good and always supported by the management.” People were supported to pursue their interests whilst staying at Coopers @ Ambleside. People were encouraged to have maximum choice and control of their lives and staff helped them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Peoples medication was managed by staff on an individual basis. Staff were trained to administer medication.
Right Care:
People received kind and compassionate care from staff at the home. A relative said, “Absolutely fantastic staff and management so caring and competent with people with complex needs.” Staff and the management team protected and respected people’s privacy and dignity. They spoke about people with respect and were knowledgeable about people staying at the home on respite care. Staff understood how to protect people from poor care and abuse. They had received training on how to recognise and report abuse. Training in this area was regularly updated. There were sufficient appropriately recruited and skilled staff to meet people’s needs and encourage them to develop their life skills. Staff had good ways of communicating, using body language, sounds, and pictures so they could interact with people in a positive way. Staff, people supported, and their advocates cooperated to assess risks people might face. Where appropriate, staff encouraged and enabled people to take positive risks and live an independent life as possible whilst at Coopers @ Ambleside.
Right Culture:
The service promoted person-centred care involving people who used the service and their families. People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management team and staff. People and those important to them, including advocates, were involved in planning their care before arriving at Coopers @ Ambleside and during their stay. Staff evaluated the quality of support provided to people, involving the person, their family and other professionals as appropriate. Staff ensured risks of a closed culture were minimised, so people received support based on transparency and respect. Relatives told us staff and the management team treated people and their families with respect. Relatives told us they felt comfortable to raise any issues and were confident they would be listened to and dealt with. The management team had a range of systems and processes to monitor the quality of the service and drive improvements.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 12 April 2022 and this is the first inspection.
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support right care right culture.
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.