Archived: Care Management Group - 23 Perryn Road

Updated 8 February 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

Care Management Group - 23 Perryn Road 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 inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with four people who used the service. We spoke with three 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 and staff supervision. 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 training data and quality assurance records. We emailed four relatives and we received a response from two people.

Updated 8 February 2020

About the service

Care Management Group - 23 Perryn Road is a residential care home providing care and support for up to eight people who have a learning disability and may also have other health conditions, autism, mental health needs or physical disabilities. At the time of our inspection seven 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 received planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The service was a large home, bigger than most domestic style properties. It was registered to support up to eight people. This is larger than current best practice guidance. However, the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

People's experience of using this service

People told us they liked living at the home. Many people had lived at the home for many years and there was a calm atmosphere and staff were knowledgeable and skilled in supporting people. On the day of our inspection we found the home to be unclean in places, but when we raised this with the registered manager they took appropriate action both during and after the inspection.

Staff knew about people's life histories and their personal circumstances. Staff had been recruited safely. Systems were in place to safeguard people from abuse. When risks were identified the home had clear systems to manage the potential risk. Accidents and incidents were used as opportunities to learn and improve the service.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right

Support by promoting choice and control, independence and inclusion. People's support focused on them

having as many opportunities as possible for them to gain new skills and become more independent.

People were assessed prior to coming to the home and people were encouraged to come and see the home before they moved in and meet the people who lived there. People told us they liked the food. People had access to healthcare services and input from specialist professionals when required. Peoples needs in relation to their personal care, nutrition and medicines were met.

People's privacy, dignity and independence was respected and maintained by staff. People were encouraged to express their views. There were daily activities for people to attend and these activities were chosen by the people who lived 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.

People’s care was planned in a personalised way. Care plans were reviewed regularly in line with the provider’s policy. There had been no complaints since the last inspection. People’s end of life wishes were recorded. There were systems in place to monitor the quality and safety of the home and the registered manager was aware of their regulatory responsibilities.

The home was well managed, and the registered manager understood their duties and responsibilities. The provider had oversight of the service and had implemented a variety of audits to monitor the service. Staff received regular support supervision and appraisals in line with the provider’s policies. The registered manager attended conferences and events to ensure they had the appropriate skills and knowledge to do their job effectively.

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

Rating at last inspection:

The service was rated good at our last inspection (published 03 August 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 reinspection programme. If we receive any concerning information we may inspect sooner.