We carried out a review of the data available to us about The Terrace 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 The Terrace, you can give feedback on this service.
About the service
The Terrace is a residential care service which can accommodate up to six people with learning disabilities or autistic people. Six people were using the service at the time of the inspection. People who used the service had a self-contained apartment which consisted of a kitchen, lounge, bedroom and bathroom.
People’s experience of using this service and what we found
People were safeguarded from the risk of abuse; staff understood how to protect people from avoidable harm. Risks to people were assessed and managed to keep people safe. Staff were recruited safely, there were sufficient staff to meet people’s needs and provide meaningful activities. Medicines were managed safely. Infection prevention and control systems were in place and staff wore personal protective equipment. Accidents and incidents were monitored, with action taken to mitigate risks and reduce incidents.
The registered manager had governance systems in place to maintain and improve the quality and safety of the service. Effective monitoring was in place so that lessons were learnt when things went wrong. Staff felt supported by the manager and were involved in driving improvements. People had strong links within the community. There was an open and transparent culture, people using the service were involved in planning their care and support.
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.
Based on our review of key questions Safe and Well Led, the service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture
Right support
The model of care and setting maximises people’s choice, control and independence. People were involved in planning their care and future goals. Staff supported people with independent living skills and people chose their own activities daily. People had their own living area, which they were involved in decorating to their individual likes. People had strong links to the community and they were supported to maintain family relationships.
Right Care
Care was person centred and promoted people’s dignity, privacy and human rights. People chose and purchased their own meals and chose when they wanted to eat. Staff communicated with people in a respectful and caring way. Care plans and risk assessments were person centred and staff were trained and knowledgeable in meeting peoples individual needs.
Right culture
The ethos, values, attitudes and behaviours of the leaders and care staff ensured people using the service led confident, inclusive and empowered lives. There was an open and transparent culture and there was a homely atmosphere. People told us they were supported by the registered manager. Staff supported people to achieve their individual aspirations. Quality assurance and audit systems were in place to maintain and continuously improve quality and safety of the service.
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 08 February 2019)
Why we inspected
The inspection was prompted in part due to concerns received about management and safety in the service. A decision was made for us to inspect and examine those risks. We undertook this inspection to assess that the service is applying the principles of right support right care right culture.
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.
The Terrace is a residential care service which can accommodate six people. People who used the service had individual self-contained flats which consisted of kitchen a living space as well as a bathroom and bedroom. At the time of our inspection there were three people using the service and one person who used the service on a respite basis.
People’s experience of using this service:
People were safeguarded from the risk of abuse. Staff were aware of what actions to take to ensure people were safe. Risks associated with people’s care and support had been identified and plans were in place to help minimise the hazards. There were sufficient staff available to meet people’s needs and to ensure they could access the community. People were supported to manage their prescribed medicines. Staff had received training to ensure this was carried out safely. Accidents and incidents were monitored to identify trends and patterns and the provider took action to minimise incidents occurring.
People received support from staff who were trained and supported to carry out their role. Staff we spoke with felt supported by the management team. People were supported to maintain a healthy diet which catered for their likes and dislikes. People had access to health care professionals as required. People 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. The service was compliant with the Mental Capacity Act 2005.
During our inspection we saw staff interacting with people who used the service. Staff and people had a good rapport and staff were kind and caring in their approach. Staff maintained people’s privacy and dignity and were respectful of their home.
People received personalised care which was responsive to their needs and preferences. Support plans were clearly detailed. People had access to a range of social activities which ensured they maintained links within the community. The provider had a complaints procedure and people felt at ease to raise concerns. No concerns had been received at the time of our inspection.
The service was well led and had a management team who were dedicated in providing high-quality care which promoted an open and fair culture. Audits were in place to measure the performance of the service and to action any concerns as they arose.
Rating at last inspection: This was the first inspection of this service.
Why we inspected: We inspected the service in line with our current methodology for inspecting care homes.