Keal View

Updated 8 March 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, 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 carried out by one inspector.

Service and service type:

Keal View is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

Notice of inspection:

This inspection was announced. We gave the registered manager a short period of notice because people who used the service were often out engaging in leisure activities. We wanted to be sure they were offered the opportunity to participate in the inspection.

What we did:

Before the inspection, the registered provider had completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. The registered provider returned the PIR and we took this into account when we made our judgements in this report.

We also reviewed other information that we held about the service such as notifications. These are events that happen in the service that the registered provider is required to tell us about. We considered the last inspection report and information that had been sent to us by other agencies, this included commissioners who had a contract in place with the registered provider.

During our inspection visit we undertook a tour of the premises together with one person who was staying at the service and the registered manager. We spoke with three people and observed how staff interacted with and communicated with people. We also spoke with two staff members, the registered manager, deputy manager, and the registered providers operations manager.

In addition we looked at specific parts of the care records of three people and records in relation to the management of the service. These included quality assurance checks, staff training, safeguarding, complaints and accident and incident information.

Updated 8 March 2019

About the service:

Keal View is registered to provide accommodation and support for up to 11 people who have a learning disability. People are invited to have short breaks in the service so that they can have a holiday, giving their main carers time to themselves.

At the time of this inspection there were three people staying for short breaks at the service.

The service applied the principles and values that underpin Registering the Right Support and other best practice guidance. This ensured that people could live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control over their own lives, choice, and independence.

People’s experience of using this service:

•People received safe and effective care from staff who understood how to recognise and report issues of concern and potential abuse.

•People were supported with positive risk taking in ways which enabled people to stay safe, maintain their independence and enjoy their short breaks at the service.

•People and their circle of support were involved in planning and reviewing the care they received.

•People received responsive care and support from a team of trained staff who demonstrated the principles of person centred care within their work.

•Staff were caring. People were treated with respect and kindness and their rights were upheld. Staff understood people's preferences and choices and respected the decisions they made.

•The registered manager and staff were supported to maintain and develop their skills and knowledge using the framework of training and development the registered provider had in place.

•People and staff, expressed confidence in the registered manager and staff demonstrated a team approach to the development of the services provided.

•Systems and processes were in place to monitor the quality of the service provision and to make any necessary improvements when shortfalls were identified.

•The registered providers open and inclusive culture enabled people and staff, to share ideas and work in partnership with each other as part of the continuation of service development.

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

Rating at last inspection:

Good (report published August 2016).

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Why we inspected:

This was a planned inspection based on the rating at the last inspection. The service remained rated good overall.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.