15 Manor Crescent

Updated 9 November 2021

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

Two inspectors carried out the inspection.

Service and service type

15 Manor Crescent 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.

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 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. 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

Not everyone was able to tell us about their experience. We spoke with one person and observed the support others received and their interactions with staff. We spoke with four members of staff including the deputy manager and care workers.

We reviewed a range of records. This included two people’s care records and their medication records. We reviewed a variety of records relating to the management of the service, including policies and procedures, accidents and incidents.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data, quality assurance records and staff documentation in relation to safe recruitment and supervision.

Updated 9 November 2021

About the service

15 Manor Crescent provides accommodation and personal care for up to four people with learning disabilities and who may also have a physical disability. The accommodation is on one level and consists of four bedrooms with ensuite bathrooms. There were four people living in the home at the time of our inspection.

There is a care home for people with learning disabilities next door which is owned by the same provider. The registered manager of 15 Manor Crescent was responsible for both locations and all members of staff work between both houses.

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

Family members told us their relative was safe. Staff understood their roles in safeguarding people from harm. Risks to people were assessed and identified. There was guidance for staff on how to manage these risks safely. There was a process to identify learning from accidents, incidents and safeguarding concerns. There were enough staff to meet people’s needs and safe recruitment practices were in place. Medicines were safely managed.

The provider and staff were following government guidance in relation to infection prevention and control. Staff had received training on COVID-19 and the use of personal protective equipment (PPE). The service had business continuity and COVID-19 contingency plans in place that made provision for safe care in the event of an emergency, or an outbreak of COVID-19.

Quality assurance processes were robust to give oversight of the service. The registered manager and team leader had ideas of how to continuously improve people's lives and valued working in partnership with others to achieve this.

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. Staff were seen to continuously encourage people to share their views and make choices and it was clear they treated people as individuals.

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.

Based on our review of the safe and well-led key questions, the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right support:

• 15 Manor Crescent is a small care home which can accommodate four people. The building is similar to other houses in the area and has no external identifying features. Staff were observed to enable people to make day to day choices, including around food and activities. The care home is located within walking distance of local shops and amenities. Whilst people are not able to travel independently, staff supported them to access the community and there were sufficient car drivers to enable longer trips. The provider engaged with local commissioning partnerships in order to strive for continuous improvement.

Right care:

• People received support which kept them safe and encouraged their independence. Risk assessments were in place which identified people's individual health care needs and support. Staff understood how to keep people safe and told us they reported and reviewed significant incidents at the end of each shift in order to consider learning from it.

Right culture:

• Leadership and staff showed commitment to those whom they supported. They told us that central to their role was to empower those whom they supported to be as independent as possible. We observed that people moved around their home with confidence and placed trust in the staff team to support them safely and in the least restrictive way.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 20 November 2020).

Why we inspected

This report only covers our findings in relation to the key questions Safe and Well-led. We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service remains good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for New Generation Care Limited - 15 Manor Crescent on our website at www.cqc.org.uk.

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.