About the service 304 Southwell Road is a residential care home which can provide personal care for up to eight people. The service specialises in supporting people who have a learning disability, are on the autistic spectrum, or have mental health support needs.
The care home comprises of two adjacent bungalows with separate facilities. Each bungalow can accommodate four people. There were seven people living there at the time of our inspection. The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures people, who use the service, can 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, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
There were no identifying signs, to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.
People's experience of using this service and what we found
People were kept safe from avoidable harm. Staff were aware of their responsibilities for keeping people safe and knew what to do should they feel someone was at risk of harm. Risks relating to people’s care and support had been assessed, managed and monitored. Suitable numbers of appropriately recruited staff were available to meet people’s care and support needs and people were supported with their medicines safely. Staff followed the provider’s infection control policy and lessons were learned when things went wrong.
A comprehensive assessment process was followed when new people moved into the service and people were supported to eat and drink well. Staff knew people well and had the skills and knowledge to meet their needs. People were provided with a comfortable and homely place to live. Staff worked well together, they supported people to live healthier lives and they obtained people’s consent. 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 were kind and caring and showed people the respect they deserved. People were treated with dignity and were fully involved in making decisions around their care and support.
Plans of care had been developed when people had first moved into the service, and these identified the care and support people needed. Concerns were taken seriously and handled in line with the provider’s complaints procedure. People’s wishes at the end of their life had been explored.
The management team regularly monitored the service. Auditing systems were in place and these were carried out on a daily, weekly and monthly basis. The staff team felt supported and their views of the service were sought. People and their relatives were involved in how the service was run. This was through meetings, the use of surveys and day to day conversations with the management and staff team. The staff team worked in partnership with others to make sure people received safe care and support.
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 28 July 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.