Background to this inspection
Updated
27 November 2020
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
This was a targeted inspection looking at the infection control and prevention measures the provider has in place. As part of CQC's response to the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes.
This inspection took place on 3 November 2020 and was announced. The service was selected to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.
Updated
27 November 2020
Upton Grey Close 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.
Upton Grey Close supports adults with learning disabilities or autistic spectrum disorder. At the time of our inspection there were five people living in the service. The home is located two miles from the town centre of Winchester. The home is two adjoining houses each with their own access. People were accommodated in single bedrooms with en-suite facilities. Communal areas included; a garden, kitchen dining room and a lounge.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
At our last inspection in January 2016 we rated the service requires improvement. There were three breaches of the regulations. We asked the provider to take action to make improvements. For example, we found care plans did not reflect people’s changing needs, the provider had not acted in accordance with the Mental Capacity Act 2005 and the provider had not kept accurate records of how risks were mitigated and how quality was monitored and at this inspection we found action has been completed.
A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.
There have been improvements since the last inspection. Including detailed monitoring of the home. The staff team are stable and feel supported by the registered manager. Records have been improved and are relevant and updated in a timely way when changes occur.
Support staff are very aware of people’s needs and preferences and respond quickly to any concerns by contacting the relevant professionals.
People are supported by staff who are skilled and knowledgeable. Staff are passionate about their role and working with the people living at Upton Grey Close.
People are included in the planning and delivery of care. They were confident in raising concerns and expressing themselves.
People have access to healthcare services when they need them.
Improvements to the management structure had resulted in staff feeling well led and supported.
Further information is in the detailed findings below.