Background to this inspection
Updated
15 March 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.
Inspection team
This inspection was carried out by one inspector.
Service and service type
Agape Annexe 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. Agape Annexe 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 and took place on 7 March 2023.
What we did before 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 (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 used all this information to plan our inspection.
During the inspection
During our inspection we spoke with 2 people that used the service. We also made calls and spoke with 1 relative of a person who used the service. We spoke with one staff member and the registered manager who was also the provider. We looked at multiple documents including care plans, risk assessments, staff files and meeting minutes.
Updated
15 March 2023
About the service
Agape Annexe is a residential care home providing personal care to up to 4 people. The service provides support to people with learning disabilities and autism. At the time of our inspection there were 3 people using the service.
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.
People’s experience of using this service and what we found
Right Support:
People received care and support to maintain an environment that suited their needs and preferences.
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 access health and social care services. Staff supported people with their
medicines safely and in their preferred way.
Staff supported people to make decisions following best practice in decision-making. People were
supported to carry out their daily living activities and pursue their hobbies and interests.
Right Care:
Staff communicated with people in ways that met their individual needs.
People received care that was person-centred, and dignity, privacy and human rights were promoted.
People received kind and compassionate care. Staff understood and responded to people's individual needs. They protected and respected people's privacy and dignity.
People's care plans reflected their needs and wishes and promoted their wellbeing. Risks that people may face were appropriately managed.
Staff understood how to protect people from poor care and abuse. Staff had training on how to recognise and report abuse and they knew how to apply it. The service employed skilled staff to meet people's needs and keep them safe.
Right Culture: The ethos, values, attitudes and behaviours of the registered manager and staff team ensured people lead confident, inclusive and empowered lives.
People received good quality care and support because trained staff and specialists could meet their needs and wishes.
People and those important to them, including social care professionals, were involved in planning their care. The registered manager and the staff team ensured people received support based on best practice, respect and inclusivity.
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 18 July 2018.
Why we inspected
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.
The inspection was prompted in part due to concerns received about staffing levels. A decision was made for us to inspect and examine those risks.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe section of this full report.
We will continue to monitor information we receive about the service, which will help inform when we next inspect.