Segensworth Road

Updated 26 November 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. 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

This inspection was carried out by one inspector.

Service and service type

This service provides care and accommodation for up to three people who have a learning disability.

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 24 hours’ notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to speak with us.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke with one person who used the service about their experience of the care provided. We also observed interactions between another person and staff as we were unable to communicate with them about their experience of the service. We spoke with four members of staff including the registered manager and care staff. 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 reviewed further information sent to us by the registered manager. We spoke to three relatives and two external healthcare professionals about their experience of the care provided.

Updated 26 November 2019

About the service

Segensworth Road provides care and accommodation to people aged under the age of 65 living with learning disabilities and physical disabilities. The service can support up to three people and there were three people living at Segensworth Road during the inspection.

Segensworth Road has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice. 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 receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

Segensworth Road is an adapted building with shared facilities that fits in with local residences. The service had no identifying signs to indicate it was a care home, in line with current best practice. People had easy access to local amenities and could live life as any other citizen. Staff wore clothes that did not suggest they were care staff when working with people.

People’s experience of using this service and what we found

The registered manager promoted a positive, inclusive culture where people achieved very positive outcomes. Staff worked as a team, felt valued and thoroughly enjoyed working in the service.

The provision of meaningful activities for people in the service was very good. Staff had the freedom to explore different ideas for activities that any citizen could access and people would enjoy. This demonstrated their commitment to promoting equality for people with diverse needs. Staff were skilled at communicating with people which enabled them to give people as much choice and control over their lives as possible.

People were supported to be as independent as possible and relatives told us their family members had gained levels of independence they did not think they would be able to. Staff provided caring and compassionate support. People were treated with dignity and respect.

Relatives told us the service was safe. Staff understood signs of possible abuse and how to raise

concerns. Risks to people were assessed and known by staff. People were supported by staff who had undergone appropriate recruitment checks. Medicines were administered appropriately. Incidents and accidents were thoroughly investigated.

Staff were skilled and received appropriate training. Staff monitored the health and wellbeing of people and involved the appropriate healthcare professionals. Staff experienced effective support from senior staff and the registered manager and this included an induction and ongoing supervision. People's hydration and nutritional needs were met.

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 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.

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 16 January 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 re-inspection programme. If we receive any concerning information we may inspect sooner.