Background to this inspection
Updated
24 July 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. 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.
Inspection team
This inspection was carried out by a single inspector.
Service and service type
Erindale (1a) 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.
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 inspection was unannounced and carried out on 12 June 2019.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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
We spoke with one relative about their views of the care provided. We spoke with five members of staff including the registered manager, a service manager and three support workers. 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.
We reviewed a range of records. This included three people’s care plans, risk management and medicines records. We looked at two staff files in relation to recruitment, training and supervision. We also looked at other records used in managing the service, including, health and safety logs, surveys, audits and minutes of various meetings.
After the inspection
After the inspection, we received feedback from three professionals who work with the service.
Updated
24 July 2019
About the service
Erindale (1a) is a residential care home which provides care and support for up to five adults with profound learning and physical disabilities or with complex needs. The service is located on a residential road close to local amenities. The home is purpose built with five bedrooms all located on the ground floor. At the time of this inspection, five people were living at the home.
People’s experience of using this service and what we found
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. The outcomes for people using the service reflected the principles and values of Registering the Right Support because choice and inclusion was promoted. People received planned coordinated person-centred support that was appropriate to their needs and the service ensured people live meaningful lives as much as they could.
Relatives and professionals spoke positively about the service and told us it was well managed. People received care and support which was safe and personalised to their needs. People were protected from the risk of abuse and avoidable harm. Where accidents and incidents occurred, lessons were learnt to prevent reoccurrences. Appropriate numbers of staff were available to support people’s needs and the service followed safe recruitment practices. People were supported to take their medicines safely and staff followed appropriate infection control practices to prevent the spread of diseases.
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. People’s needs were regularly assessed to ensure they could be met. People were supported by staff that had completed an induction, training and were supported through supervision. People were supported to eat healthily and access healthcare services when required.
People received care and support from staff that were kind, caring and attentive to their needs. People, their relatives and professionals were involved in making decisions about their care and support needs. People’s privacy and dignity was respected, and where applicable their independence promoted. Staff understood the Equality Act and supported people without discrimination.
People were supported to maintain relationships with those that were important to them and participated in activities that interested or stimulated them. Relatives knew how to make a complaint if they were unhappy.
The management team demonstrated a commitment to ensure people experienced meaningful, person centred and high-quality care. There were systems in place to assess and monitor the quality of the service and feedback was sought from people, their relatives and staff to improve the quality of the service. The service worked in partnership with health and social care professionals to plan and deliver an effective service. The management team understood their responsibility under the duty of candour and had been open, honest and taken responsibility when things went wrong.
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 31 January 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.