Curzon Care Limited

Updated 1 December 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This comprehensive inspection took place on 6 September 2018 and was announced. We gave the service 48 hours’ notice of the inspection visit because we needed to ensure a member of the management team would be available to speak with us.

The inspection was carried out by one adult social care inspector.

Before our inspection, we reviewed the information we held on the service and completed our planning tool. Information we reviewed included notifications we had received from the provider, about incidents that affect the health, safety and welfare of people who lived at the home and previous inspection reports. We also checked to see if any information concerning the care and welfare of people supported by the services had been received.

We also contacted the commissioning department at the local authority. This helped us to gain a balanced overview of what people experienced accessing the service.

As part of the inspection we used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection visit we spoke with a range of people about the service. This included three people who were supported and one person’s relative. We also spoke with four staff including the registered manager. We also received feedback from an external professional. This helped us understand the experience of people who used the service.

We looked in detail at care records of two people who received support. We also viewed a range of other documentation related to the management of the service. This included records related to medication, staff recruitment and supervision arrangements, staffing levels, quality assurance and safety checks.

Updated 1 December 2018

Curzon Care is a small domiciliary care and supported living service providing support to people with learning disabilities in the Morecambe and Heysham district. At the time of our inspection, the service was providing support to 30 people.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained Good.

People’s care and support had been planned with them or, where appropriate, others acting on their behalf. They had been consulted and listened to about how their care would be delivered.

The service had systems in place to record safeguarding concerns, accidents and incidents and take necessary action as required. Staff had received safeguarding training and understood their responsibilities to report unsafe care or abusive practices.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staffing levels were sufficient in order to provide support which met people’s needs. Staffing was organised so people received support from a consistent set of staff.

Risk assessments had been developed to minimise the potential risk of harm to people during the delivery of their care and support. These had been kept under review and were relevant to the care and support provided.

Staff had been recruited safely, appropriately trained and supported. They had skills, knowledge and experience required to support people with their care and social needs.

People were supported to have access to healthcare professionals and their healthcare needs had been met. People told us staff acted quickly if they were unwell, to seek professional advice.

People told us staff were caring towards them. They told us staff who supported them treated them with respect and dignity. Staff we spoke with understood the importance of high standards of care to give people meaningful lives.

The service had a complaints procedure which was available to people who used the service and their relatives. The people we spoke with told us they were happy with the service and had no complaints.

The service used a variety of methods to assess and monitor the quality of the service. These included regular audits, daily communication and satisfaction surveys to seek people’s views about the service provided.

Further information is in the detailed findings below.