Background to this inspection
Updated
29 December 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This comprehensive inspection was carried out by one inspector on 28 November 2017 and was unannounced.
The provider completed a Provider Information Return (PIR) and submitted this to us on 16 January 2017. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed information we held about the service including statutory notifications that had been submitted. Statutory notifications include information about important events which the provider is required to send us.
People who used the service were not able to share their views with us. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. Subsequent to this inspection we contacted relatives of four people who used the service by telephone to obtain their views on the service provided.
During the course of the inspection we spoke with two support staff, a team leader, the registered manager and a visiting healthcare professional shared positive feedback with us.
We reviewed two people’s care records, two staff personnel files and records relating to the management of the service.
Updated
29 December 2017
This inspection took place on 28 November 2017 and was unannounced. When we last inspected the service in January 2017 we found that the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008 and the service received an overall, rating of Good. At this inspection we found the service remained Good.
Turning Point - Brickfield Cottage 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. Turning Point – Brickfield Cottage accommodates six people who have a learning disability in one adapted building and on the day of this inspection there were six people living there. The service is not registered to provide nursing care.
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.
There was a registered manager in post. 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’s relatives told us that they were confident that people were safe living at Brickfield Cottage. Risks to people were appropriately assessed, planned for and managed. There were sufficient competent and experienced staff to provide people with appropriate support when they needed it.
Staff had received training, support and development to enable them to carry out their role effectively. The service was meeting the requirements of the Deprivation of Liberty Safeguards (DoLs). People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People received appropriate support to maintain healthy nutrition and hydration.
People were treated with kindness by staff who respected their privacy and upheld their dignity. People’s relatives were encouraged to be involved with people’s lives where appropriate, to provide feedback on the service and their views were acted upon.
People received personalised care that met their individual needs. People were given appropriate support and encouragement to access meaningful activities and follow their individual interests.
People’s relatives told us they knew how to complain but had not had occasion to do so. They said they were confident they would be listened to if they wished to make a complaint.
The registered manager worked hard to create an open, transparent and inclusive atmosphere within the service. People’s relatives, staff and external health professionals were invited to take part in discussions around shaping the future of the service. There was a robust quality assurance system in place and shortfalls identified were promptly acted on to improve the service.
Further information is in the detailed findings below.