Saivi House

Updated 17 December 2022

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 team consisted of 1 inspector.

Service and service type

Saivi House is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement dependent on their registration with us. Saivi House 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

We carried out the inspection visit on 6 October 2022. It was unannounced.

What we did before the inspection

Before our inspection, we reviewed the information we held about the home which included statutory notifications and safeguarding alerts.

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. We also used information from relatives, a person living in the home and a staff member which we obtained in a remote monitoring exercise a few months before the inspection. We used all this information to plan our inspection.

During the inspection

We spoke with a team leader and a senior care worker. We met the 4 people living in the home. We were able to speak with 2 people and for the 2 people who were unable to speak with us, we observed their wellbeing. We also spent time observing staff interactions with people to help us understand the experience of people who could not talk with us. We looked at 3 people’s care records and medicines records for all four people; we also looked at various documents relating to the management of the service.

We completed a tour of the building and looked at medicines’ management and food safety. We spoke with a relative and 2 professionals on behalf of 2 people living in the home to get their views on the service. We had a meeting with the registered manager and human resources director.

Updated 17 December 2022

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

Saivi House is a residential care home providing personal care for up to 5 people who have a learning disability. At the time of the inspection, there were 4 people living at Saivi House which is in 1 adapted building. The provider, Saivan Care Services Ltd, operates 3 local care homes. Staff work across all 3 homes.

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

Right Support

Recruitment practices were not consistently safe as some required checks had not been completed before staff worked at the service.

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.

Staff supported people to take their prescribed medicines and to access healthcare services.

People could choose how they wanted to spend their time, whether they wanted to be with other people or in their own space and what and when they ate. Staff provided support and guidance where people needed this with arranging their chosen activities and appointments and with personal care and food preparation.

Staff had completed safeguarding training and understood their role in identifying and reporting any concerns of potential abuse or poor practice.

The staff team had undertaken training so that they were skilled and knowledgeable to effectively meet people’s needs.

Right Care

There was a relaxed atmosphere in the home where staff were respectful and supportive in their interactions with people. Where people required support with personal care this was provided in a discreet way that promoted people’s dignity and privacy. People were given choices about the way in which they were cared for. Staff listened to them and knew their needs well.

People were relaxed and confident in approaching staff for support.

Right Culture

Staff demonstrated a positive person-centred attitude to their work and promoted people’s rights and autonomy. They also were proactive in ensuring people had equal access to local services.

Staff encouraged people to be as independent as possible and respected people’s privacy and dignity. Staff told us they enjoyed working at the service and we saw they had formed good relationships with people they supported.

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

Rating at last inspection

At the last inspection we rated this service good. The report was published on 12 September 2018.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

This inspection was a focused inspection to review the key questions of safe, effective and well-led only.

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 based on the findings of this inspection.

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.

Recommendations

We have made a recommendation. We recommended the provider improve their recruitment practice in line with best practice.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.