Background to this inspection
Updated
11 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 team consisted of one inspector.
Service and service type:
288 Shipbourne 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. 288 Shipbourne Road accommodates up to six people in one adapted building.
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 ensured that people could live as full a life as possible and achieved the best possible outcomes. The principles reflect the need for people with learning disabilities and autism to live meaningful lives that include control, choice, and independence. The people using the service received planned and co-ordinated person-centred support that was appropriate and inclusive for them.
The home 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:
The inspection was announced.
What we did:
We reviewed information we had received about the home. This included details about incidents the provider must notify us about, such as allegations of abuse. 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.
During inspection we looked at the following:
• The environment, including the kitchen, bathrooms and people’s bedrooms
• We spoke to two people living at the home and one relative
• We spoke to three members of staff, the registered manager and the area manager.
• Four people’s care records
• Medicines records
• Records of accidents, incidents and complaints
• Audits and quality assurance reports
• Rotas
Updated
11 April 2019
About the service:
288 Shipbourne Road is a residential care home that supported older people with a learning disability. The service was providing personal care to six older people, some who were living with dementia, at the time of the inspection.
People’s experience of using this service:
• The provider continued to provide a good service.
• The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensured the person who lives at the home can live as full a life as possible and achieve the best possible outcomes that include control, choice, inclusion and independence.
• People continued to be protected from avoidable harm by a staff team trained and confident to recognise and report any concerns. Staff assessed and minimised any potential risks to people.
• Staff followed the provider's procedures to prevent the spread of infection and reduce the risk of cross contamination.
• The provider had systems in place to enable staff to safely manage people's medicines.
• The provider had a system in place to make sure they only employed staff once they were satisfied of their suitability to work with people who used the service.
• Staff knew the people they cared for well and understood, and met, their needs. People received care from staff who were trained and well supported to meet people's assessed needs.
• Staff supported people to have enough to eat and drink and to access external healthcare services. Staff worked well along with external professionals to maintain people's physical and emotional wellbeing.
• 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. People were involved in making decisions about their care and support. Where people needed addition support to make decisions, staff had referred people to external advocates.
• Staff supported people in a kind and compassionate way and displayed empathy for people's fears. Staff were respectful when they spoke with and about people. Staff supported people to develop their independence. People were supported in a individualised way.
• The service was effectively managed by a registered manager. They led by example and had a passion for continually driving improvements and placing people at the centre of the service. They promoted a culture that focused on people as individuals. The registered manager developed positive links with outside agencies and used feedback to learn from mistakes.
• There provider and manager had put robust systems in place to effectively monitor the service and bring about improvement.
• People and their families felt able to raise concerns. The provider had systems in place, including a complaints procedure, to deal with any concerns or complaints.
Rating at last inspection:
The rating at the last inspection was Good (report published 31 August 2016).
Why we inspected:
This was a comprehensive planned inspection.
Follow up:
We will continue to monitor this home and plan to inspect in line with our re-inspection schedule for those services rated Good.
For more details, please read the full report which is on the CQC website at www.cqc.org.uk