Background to this inspection
Updated
14 December 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
One Inspector and an expert by experience conducted the 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 announced. We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be available.
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We reviewed information we held about the service including, notifications, complaints, feedback from the general public and quality assurance reports. We used all this information to plan our inspection.
During the inspection
We spoke with the registered manager, the team leader, 5 support workers and 2 people. We reviewed quality assurance records, various policies and procedures, training and supervision records, medication competency assessments and staffing records. We reviewed comments made by visiting professionals and relatives.
Updated
14 December 2023
About the service
Portchester Lodge provides care and support for up to 11 people who may be living with a learning disability or have mental health needs. At the time of the inspection 10 people were using the service.
People’s experience of using this service and what we found
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.
Right Support: The model of care and setting maximised people’s choice, control and independence.
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.
Right Care: Care was person-centred and promoted people’s dignity, privacy and human rights.
Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensured people using services lead confident, inclusive and empowered lives.
People received care, support and treatment which was properly assessed and centred to their needs.
Staff were knowledgeable about safeguarding and people were protected against the risk of abuse. Staff received training in relation to the management of medicines and had their competence checked frequently.
The provider had suitable arrangements in place in respect of infection control.
Any complaints received were investigated and responded to appropriately.
When people needed additional care and support after they had finished their treatment plan, the provider supported people by signposting them to the appropriate organisations.
The culture of the organisation was good and people told us staff were friendly, had good values and enjoyed their jobs.
Staff were complimentary about management and told us they were supportive, knowledgeable and positive role models.
The provider had effective governance systems in place and regularly reviewed the quality of care provided.
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 the service was good, (published on 12 July 2018).
Why we inspected
We carried out a focused inspection. We undertook this focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.