We carried out a review of the data available to us about 76 Canute Road on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about 76 Canute Road, you can give feedback on this service.
People in care homes receive accommodation and nursing or personal care as a 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.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
This comprehensive inspection took place on 11 December 2018 and was announced. The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The registered manager was also the manager of four other homes locally.
People’s needs were effectively met because staff had the specialist training and skills they needed to meet people’s complex needs. Staff attended regular supervision meetings and received an annual appraisal of their performance. Staff supported people in the least restrictive way possible. People were encouraged to make decisions and choices. They were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
Staff had a very good understanding of the care and support needs of people and had developed positive relationships with them. People were supported to attend health appointments, such as the GP or dentist and where appropriate professionals visited them at Canute Road. People had enough to eat and drink and menus were varied and well balanced.
People were observed to be relaxed and content in their surroundings and there was warm and friendly atmosphere in the home. People were supported to take part in a variety of activities to meet their individual needs and wishes. This included trampolining, aromatherapy, art sessions, walks, gym, bowling, computer time, visits to local restaurants, cinema, theatres and shops.
There were enough staff who had been appropriately recruited, to meet people’s individual needs. Staff knew people well and had a good understanding of the actions to take to mitigate risks and provide a safe environment for people to live. Staff understood what they needed to do to protect people from the risk of abuse. Incidents and accidents were well managed and lessons were learned to pre-empt and avoid similar occurrences. People’s medicines were managed safely.
The provider visited Canute Road regularly and had effective systems to monitor the management and quality of the home. The registered manager ensured a range of audits were carried out to monitor the care and support provided. The registered manager had very strong links with local organisations to gain advice and support that would benefit the organisation and to provide support for other services for people with learning disabilities.
Further information is in the detailed findings below.
This location is registered to provide accommodation and personal care to a maximum of six people with adults with complex needs within the autistic spectrum. Five people lived at the service at the time of our inspection and one person used the service for respite purposes. Some people could communicate using words and short sentences. Some people had non-verbal communication skills. We talked directly with people and used observations to better understand people's needs.
The home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the service is run.
Staffing levels were adequate and were flexibly deployed to ensure people received appropriate support at all times to meet their individual needs.
Staff were trained in how to protect people from abuse and harm. Staff knew how to recognise signs of abuse and how to raise an alert if they had any concerns.
Risk assessments were centred on the needs of the individual. Each risk assessment included clear control measures to reduce identified risks to each individual and guidance for staff to follow to make sure people were protected from harm.
Accidents and incidents were recorded and monitored to identify how the risks of reoccurrence could be reduced. Staff had analysed behavioural incidents and put in place structured activities for people where it had been identified they may experience behaviours which challenge. This had reduced the frequency of incidents and enhanced people’s quality of life.
There were safe recruitment procedures in place which included the checking of references.
Medicines were stored and administered safely and correctly. Staff were trained in the safe administration of medicines.
The Care Quality Commission (CQC) is required by law to monitor the operation of Deprivation of Liberty Safeguards (DoLS) which applies to care homes. Staff had received training in the MCA and how to implement this in practice. DoLS assessments were in place to ensure people were lawfully deprived of their liberty.
Staff received on-going training and supervision to monitor their performance and professional development. The registered manager had ensured that staff had access to relevant training that met their learning needs. Staff actively sought and were supported to undertake additional training. This enabled them to further develop people’s independence levels and improve their quality of life through use of enhanced communication methods and Positive Behaviour Support (PBS).
Staff responded to people’s individual needs and support people to meet their individual goals and aspirations. People’s needs and personal preferences had been assessed. Person centred activities were provided to people based on their individual needs and preferences. People’s care plans had been regularly reviewed to ensure they were up-to-date and met people’s individual needs.
The provider had obtained people’s feedback and feedback from relatives and key stakeholders to develop and improve the service.
Staff supported people to have meals that met their needs and choices. Staff knew about and provided for people’s dietary preferences and needs.
Staff were committed to providing a high standard of care to people. Staff communicated effectively with people, responded to their needs promptly, and treated people with kindness and respect. People’s privacy was respected and people were assisted in a way that respected their dignity.
People were promptly referred to health care professionals when needed. Personal records included people’s individual plans of care, life history, likes and dislikes. The staff promoted people’s independence and encouraged people to do as much as possible for themselves.
People were provided with accessible information about how to make a complaint and received staff support to make their views and wishes known.
There were audit processes in place to monitor the quality of the service and promote continuous service improvements.
There was an open culture that put people at the centre of their care and support. Staff held a clear set of values based on respect for people, ensuring people could make choices and have support to be as independent as possible.