Archived: Quarrydene

Updated 24 May 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

This inspection was completed by one inspector.

Service and service type:

Quarrydene 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, 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:

This was an unannounced inspection. The inspection took place on 23, 24, 25 April 2019.

What we did:

Before this inspection, we reviewed information we already held on the service. This included notifications sent to us by the provider. Notifications are information about specific events the service is legally required to tell us about. We reviewed the Provider Information Return (PIR). In the PIR the provider told us key information about their service, including what they do well, and improvements they plan to make. This information helps inform our inspections. We also sought feedback from health and social care professionals working with the service.

During the inspection we spoke with four people using the service and two relatives of people who live at the service. We used different methods to gather other people’s experience such as observations of staff interactions with people living at the home. We also spoke to four staff members, the registered manager and visiting health care professionals. We reviewed documentation relating to people’s care, these included care plans and daily records. We also looked at documentation relating to the management of the service, including staff recruitment and training records, and audits.

Updated 24 May 2019

About the service:

Quarrydene is a residential care home that supports people with learning or physical disabilities. Quarrydene is a large home bigger than most residential properties, it is currently registered to support up to 13 people. At the time of our inspection, Quarrydene was providing care for 11 people. People were accommodated in two adapted bungalows on the same site. This is larger than current best practice guidance. The size of the service having an impact on people had been mitigated by the absence of identifying factors such as uniforms for staff or obvious signage.

People’s experience of using this service:

People told us they liked living at Quarrydene, their relatives told us they like the family atmosphere. People were supported to maintain good relationships with their family and friends, visitors to the service told us they always felt welcome.

We saw good interactions between staff and people, people were not rushed and were supported with their activities and choices at their own pace.

The outcomes for people using this service reflected the principles and values of registering the right support in the following ways: Promotion of choice and control, independence and inclusion.

People were able to utilise local provisions and to be part of their local community. Staff assisted people to pursue their hobbies and interests.

Assistive and adapted equipment was in place, staff were knowledgeable about its use and maintenance. This enabled people to do many daily activities without staff assistance and promoted independence.

Staff and management had good knowledge of the Mental Capacity Act 2005. 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.

Staff were recruited safely and knew how to keep people safe from avoidable harm. There was enough staff to meet people’s needs.

Management had good oversight of the service, they completed regular audits and observations. The registered manager knew the people who lived at the service well.

Staff told us they felt supported by management, they were kept informed as to the development of the service.

The service was clean, staff followed infection control and food hygiene standards.

Rating at last inspection:

At the last inspection the service was rated Good (published 13 December 2016).

Why we inspected

This was a planned inspection to check/confirm that this service remained Good.

Follow up:

We will continue to monitor this service to ensure people using this service receive good quality care.

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