Background to this inspection
Updated
26 April 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 carried out by one inspector.
Service and service type
Living Ambitions Limited - 32 Ringstead 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. Living Ambitions Limited - 32 Ringstead 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 reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
During the inspection we interacted with 2 people, and spoke with one member of staff, the deputy manager and the registered manager. We checked 3 people’s care records, which included their needs assessments, care plans, support plans and risk assessments. We checked 4 staff files which included recruitment, supervision and training records. We also checked the provider’s quality assurance processes. After the inspection we contacted 3 relatives and 2 health care professionals to obtain their views about the service people were receiving.
Updated
26 April 2023
About the service
Living Ambitions Limited - 32 Ringstead Road is a residential care home providing personal care to up to 6 people with a learning disability in one adapted building. At the time of our inspection there were 4 people using the service.
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.
People’s experience of using this service and what we found
Based on our review of the Safe and Well-led key questions the service was able to demonstrate how they were the underpinning principles of Right support, right care, right culture.
Right Support
Staff kept people safe by assessing and reducing known risks. 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.
Right Care
Staff made timely referrals to health and social care professionals to ensure people’s needs were assessed and met. People and staff knew each other well and over many years. The service had enough staff to meet people's needs in a person-centred way and keep them safe.
Right Culture
The provider checked the quality of support people received and developed plans to ensure continuous improvements. People and those important to them, were involved in planning their care and the service gathered feedback from people and their relatives and took action in response.
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 8 September 2018). You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Living Ambitions Limited - 32 Ringstead on our website at www.cqc.org.uk.
Why we inspected
We undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall 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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.