Bedford Road

Updated 17 April 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 conducted by an adult social care inspector.

Service and service type:

Bedford Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (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:

We gave the service 48 hours’ notice of the inspection visit because it is a small service and the manager is often out supporting people. We needed to be sure that they would be in.

What we did:

Prior to the inspection we reviewed the information we held in relation to Bedford Road. This included the statutory notifications sent to us by the registered provider about incidents and events that had occurred at the service. A notification is information about important events which the service is required to send to us by law. Providers are required to send us key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. The provider had completed a Provider Information Return (PIR). The PIR is information providers must send us to give us key information about the service, what it does well and improvements they plan to make. We took this into account in making our judgements in this report.

We also considered any information received from the public and professionals. We used this information to plan our inspection.

During the inspection we spoke with the registered manager and a support worker. We looked at one person's care files, medicine administration processes, and other records relevant to the quality monitoring of the service.

We undertook general observations of the home over the course of the inspection, including the general environment, décor and furnishings and bedrooms of the people who lived at Bedford Road.

After the inspection we spoke with relatives for the two people who lived in the home.

Updated 17 April 2019

About the service: Bedford Road is a residential care home. This service supports people with autism; The service is registered to care for three people; there were two people using the service at the time of the inspection.

People’s experience of using this service:

The service applied the principles and 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 in the promotion of 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. Bedford Road is located in an area that enabled people using the service to participate in their own local community.

Staffing levels were appropriately managed and people received care from consistent, regular staff. Enough staff were employed each day to meet people's needs, keep them safe and give them the opportunity to take part in their chosen activity.

Staff received a range of training appropriate to their role and people’s needs and were supported by the registered manager though regular supervision.

Risks that people faced had been assessed and those identified were safely managed. Medicines were managed safely. Staff showed a good understanding of their roles and responsibilities of keeping people safe from harm. The environment was safe and in a good state of repair and decoration.

People were encouraged and supported to eat and drink well and supported to access healthcare when needed. People were offered choice and control and where able consented to their care and support. Pictures and photographs were used to facilitate effective communication.

The leadership of the service promoted a positive culture that was person-centred and inclusive. We received positive feedback about the quality of care and support people received and the overall management of the service from their relatives. The registered manager and the staff team showed a desire to improve on the service provided and in turn the quality of life experiences for the people at Bedford Road. Effective systems were in place to check the quality and safety of the service.

Rating at last inspection: At the last inspection the service was rated Good (Report published 18 October 2016).

Why we inspected: This was a planned inspection to confirm that this service remained Good.

Follow up: We will continue to monitor the service through the information we receive. If any concerning information is received, we may inspect sooner.

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