Background to this inspection
Updated
22 July 2023
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 Health and Social Care Act 2008.
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
The inspection was carried out by 2 inspectors and an Expert by Experience. An Expert by Experience also spoke to relatives the following day. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Isaac Robinson Court is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Isaac Robinson Court is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave a short period of notice for the inspection because some of the people using it could not consent to a visit in their home from an inspector. This meant that we had to arrange for a ‘best interests’ decision about this.
What we did before the inspection
We reviewed the information we had received about the service. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 10 people who used the service and 6 relatives to ask about their experience of care provided. We also spoke with the operations and compliance manager, the registered manager, the deputy manager, the director of operations, the activities co-ordinator, 4 care staff and 1 professional visiting the service. We looked at 4 care files along with a range of medication administration records (MARs). We looked at other records relating to the management of the service including recruitment, supervisions, and systems for monitoring quality.
Updated
22 July 2023
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
About the service
Isaac Robinson Court is a residential care home providing personal care to up to a maximum of 40 people with a learning disability and/or autism. There were 31 people living at the service at the time of the inspection. The service had 3 bungalows for people who lived there permanently, and 1 bungalow for people who required respite care. In addition, there were 2 flats for people who were more independent.
People’s experience of using this service and what we found
Right Support:
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. The service gave people care and support in a safe, clean, well-equipped, well-furnished environment that met their sensory and physical needs. Staff communicated with people in a way that met their needs and people were supported to take their medicines to achieve the best possible health outcome.
Right Care:
Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it. People’s care, treatment and support plans reflected their range of needs, and this promoted their well being and enjoyment of life.
Right Culture:
People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of management and staff. Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing. People and those important to them, including advocates were involved in planning their care.
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 30 September 2019)
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Isaac Robinson Court on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.