Inspire

Crawford Street provides a short stay respite service for up to six adults with a learning disability. The home is a single storey building close to Bolton town centre. On the day of the inspection there were two people using the service.

People’s experience of using this service and what we found

There were appropriate systems in place to help safeguard people from the risk of abuse. Staff had completed safeguarding training. Individual risks were assessed, monitored and managed well. Health and safety measures and checks were in place. Systems were in place to manage people’s medicines safely. Infection control systems were appropriate and all guidance was followed. The premises were designed and decorated in a way that met people’s accessibility and mobility needs.

Staff were recruited safely and staffing levels were sufficient to meet people’s needs. Training opportunities were plentiful and regular refreshers of training required by the provider were completed. Staff were supported with regular meetings and one to one supervision sessions.

People’s needs were assessed and continually updated. People were supported to maintain a balanced diet and follow any individual dietary needs or requirements. Referrals to other agencies or professionals were made as required.

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.

Relatives felt their loved ones were treated with respect and observations showed staff interacted in a friendly and caring way with people. Staff demonstrated a real understanding of the individuals and their requirements and communication needs.

Complaints were followed up in an appropriate and timely way. Quality performance was monitored via regular audits and checks. Any issues identified were addressed with actions.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. The service was committed to ensuring a positive culture which emphasized choice and independence and respected people’s individuality.

Rating at last inspection

This service was registered with us under a new provider on 15 October 2018 and this is the first inspection. The last rating for the service under the previous provider was Good, published on 22 February 2018.

Why we inspected

This was a planned inspection because the service had not been inspected before under the new provider.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

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.