Background to this inspection
Updated
28 February 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 is 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: The inspection was carried out by one inspector.
Service and service type: 182 Bromham Road is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection: This inspection was unannounced.
What we did: Before the inspection we reviewed information, we held about the service including statutory notifications. Statutory notifications include information about important events which the provider is required to send us. We received feedback from the local authority and reviewed the commissioner’s report of their most recent inspection. We also reviewed the provider information return (PIR) submitted to us. This is information that the provider is required to send to us, which gives us some key information about the service and tells us what the service does well and any improvements they plan to make.
During the inspection we observed a person who lived at the home. We spoke with a staff member, the deputy manager and the registered manager. We also received feedback from a visiting social care professional. Following the inspection two relatives gave us feedback about the service.
We looked at two care plans and reviewed records relating to the management of the service.
Updated
28 February 2019
About the service: 182 Bromham Road provides accommodation and support for six people with a learning disability. On the day of our visit, there were six people living in the service.
People’s experience of using this service:
People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice. Bespoke communication tools in form of pictures were used when staff had to discuss with people the care and support they received and obtained their consent.
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.
People were not able to give us feedback on the quality of the service they received for various reasons. Some people could not communicate verbally or they were not confident to talk to us. We received feedback from relatives of people and a social care professional about the quality of the care people received.
Relatives felt the service people received was safe. They told us they registered manager lead by example and ensured staff were knowledgeable about people`s needs. People`s care plans were being re-developed to better reflect their needs and how staff had to meet those needs.
Staff were trained and their competency to deliver care and support people was observed by the registered manager and the deputy manager. relatives and social care professionals praised the service for putting people at the centre of their care.
The registered manager was actively recruiting to ensure that there were enough staff safely employed to meet people`s needs in a personalised way.
People`s dignity and privacy was promoted and respected by staff. Staff enabled people to maintain and develop relationships and stay safe.
People had a well-developed activity schedule and attended day care several times a week. Relatives told us they were happy with the activities provided to people but felt that there was room to improve in-house activities.
The provider`s governance systems and processes were effective and identified areas of the service where improvements were needed. The registered manager completed regular audits and ensure the service provided to people was effective and safe.
Rating at last inspection: Good (report published 29 April 2016)
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.