Background to this inspection
Updated
6 May 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 conducted by 1 inspector.
Service and service type
Spring Grove Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. Spring Grove 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
This inspection was unannounced.
What we did before the inspection
We looked at all the information we held about the provider, including notifications of significant events. 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.
During the inspection
We met all 4 people who lived at the service and 3 members of staff. People could not communicate with words, but we observed how they were being cared for and how they interacted with staff. We spoke with the relatives of all 4 people.
We looked at the care records for 2 people, looked at how medicines were managed and looked at the environment. We also looked at other records used by the provider for managing the service.
Updated
6 May 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
Spring Grove Road is a care home for up to 5 autistic adults and adults with learning disabilities. At the time of our inspection 4 people lived at the service.
People’s experience of using this service and what we found
The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.
Right Support: Staff supported people to have the maximum possible choice and independence. Staff focused on people's strengths and supported people to have fulfilling and meaningful lives. People were supported to pursue interests, goals and aspirations. People's freedom was not unnecessarily restricted, and people were not physically restrained. People lived in a safe, clean, well-equipped and well-maintained environment. Staff supported people to take their medicines safely and as prescribed.
Right Care: Staff promoted equality and diversity. They understood people's cultural needs. Staff were kind, caring and polite. They respected people's privacy and dignity. The staff were trained to recognise and report abuse and felt able to speak up when needed. Staff communicated well with people, adapting their approach to meet people's individual needs. People's care was planned, and their needs were met. They took part in a range of meaningful activities and had good relationships with each other, staff and their families.
Right culture: There was a positive and person-centred culture. People were comfortable, happy and safe. They knew the staff well. Families felt the service was open and transparent. They told us people received good quality care and support. The staff were well trained, supported and had the information they needed to understand best practice. The registered manager was experienced, qualified and led by example. People had access to advocates. There were effective systems for monitoring and improving the quality of the service.
Rating at last inspection and update
The last rating for this service was good (published 14 December 2019).
Why we inspected
We undertook this focussed inspection to assess that the service is applying the principles of right support right care right culture. At this inspection, we only looked at the key questions, safe, responsive and well-led. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained good.
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 more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk
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.