Background to this inspection
Updated
8 November 2022
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 one inspector.
Service and service type
Coombe Road 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. Coombe Road 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 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. Inspection activity started on 21 September 2022 and ended on 26 September 2022. We visited the service on both dates.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. This included notifications from the service and information shared by the local authority. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection
We spoke with two people, two staff and the registered manager. We reviewed four people’s care records and four staff files. We undertook observations of staff support and the care home environment. We checked medicines records and medicines storage and reviewed the provider’s quality assurance processes.
Updated
8 November 2022
About the service
Coombe Road is a residential care home providing personal care and accommodation for up to seven people with a learning disability in one adapted building. At the time of our inspection there were seven people using the service.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right Support
People were supported to have choice and control over their lives. People were active and chose the activities they engaged in. Staff made timely referrals to health and social care professionals to ensure people’s needs were assessed and met.
Right Care
Staff were kind and caring to people. People and staff knew each other well and staff understood people’s individual ways of communicating. People received their care safely because staff were trained and supervised, and people’s risks were assessed and mitigated. People’s needs were assessed and reviewed, and their care was person-centred.
Right Culture
Coombe Road is a larger than usual services for people with a learning disability. However, the service promoted a person-centred culture by focusing on people’s unique needs and individual preferences. The service gathered feedback from people and their relatives and took action in response. The provider checked the quality of care people received and developed action plans to ensure continuous improvements. 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.
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 09 January 2018).
Why we inspected
We undertook this inspection to assess that the service is applying the principles of right support, right care, right culture.
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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.