10 High Street

Updated 20 May 2021

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.

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

This inspection was carried out by one inspector.

Service and service type

10 High Street is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

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 a short period notice of the inspection to check on the current status of coronavirus within the home.

What we did before the 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 looked at the notifications we had received for this service. Notifications are important events the service is required to send us by law.

We used all of this information to plan our inspection.

During the inspection

We observed interactions people had with staff. We spoke with two relatives about their experience of the care provided to their family member. We spoke with four members of staff including the registered manager, the quality business partner and two care staff. We reviewed a range of records. This included two people’s care records and medication records.

After the inspection

We spoke with three professionals who regularly visit the service.

Updated 20 May 2021

About the service

10 High Street is a care home providing accommodation and personal care for up to eight people with learning disabilities. At the time of our inspection five people were living in the home.

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

At our last inspection in June 2019 we found aspects of the service that were not safe and increased the risk that people may be harmed. Staff had not kept accurate records of the medicines they supported people to take. Risk assessments had not always been reviewed regularly and some contained contradictory information. The systems for checking how the service was operating did not always identify shortfalls.

At this inspection we found the necessary improvements had been made. People received their medicines as prescribed. The registered manager had developed a robust new process and management system to ensure medicines were administered safely.

Risks to people's safety had been assessed and appropriate plans developed to manage them. Risk assessments had been reviewed regularly and when there were any changes.

There was a new electronic quality monitoring system in place, which had improved the overall monitoring and effectiveness of the service. Regular audits were carried out which were scrutinised by the senior management team. Any shortfalls were identified quickly, and actions taken to rectify them.

Staff treated people in ways that maintained their dignity and privacy. Staff were well trained and there were sufficient numbers to meet the needs of the people they supported.

The service worked well with health and social care professionals to meet people's needs effectively and appropriately.

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.

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 people with autism.

This service was able to demonstrate how they were meeting some of the underpinning principles of Right support, Right care, Right culture.

Right support:

• The model of care and setting maximises people’s choice, control and independence.

Right care:

• The care provided at 10 High Street is person-centred and promotes people’s dignity, privacy and human rights.

Right culture:

• The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection (and update)

The last rating for this service was requires improvement (published 17 July 2019) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of the regulations.

Why we inspected

This was a planned inspection based on the previous rating.

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.

We carried out an announced comprehensive inspection of this service on 11 and 17 June 2019. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve regulation 12 Safe care and treatment and regulation 17 Good governance..

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for 10 High Street on our 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.