Background to this inspection
Updated
7 January 2020
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 Care Act 2014.
Inspection team
The inspection team consisted of one inspector.
Service and service type
Veryan Close is a 'care home'. People in care homes receive accommodation and nursing or personal care as a 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. The registered provider is also the registered manager. This means that they are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
The inspection took place on the 20 November 2019. We gave the home 48 hours' notice of the inspection because it is a small home and we needed to be sure the registered manager, staff and people receiving support would be available for us to speak with.
What we did before the inspection
Before the inspection we reviewed the information, we held about the service, including notifications we had received. Notifications are changes, events or incidents the provider is legally required to tell us about
within required timescales. We used this information to plan the inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We met both people living at the home, two relatives, two members of staff, and the registered manager. To help us assess and understand how people's care needs were being met we reviewed both people's care records.
We also reviewed a number of records relating to the running of the home. These included staff recruitment and training records, medicine records and records associated with the provider's quality assurance systems. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. Following the inspection, we received feedback from one relative.
Updated
7 January 2020
About the service
Veryan Close is a residential care home registered to provide personal care and support for up to two young people who have a learning disability or autistic spectrum disorder. The home does not provide nursing care. At the time of the inspection there were two people living at the home.
Veryan Court had been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence.
People’s experience of using this service and what we found
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. There was a strong and visible person-centred culture within the staffing team.
People were supported by staff who were kind and caring and we saw people were happy and relaxed in staffs’ company. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent. Relatives spoke highly of the home and the care and support provided. One relative told us, “They’re exceptional (staff), all very competent, confident and caring. [Name] likes living here, when we see him he is very happy.”
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 home supported this practice. However, where people needed support with decisions this was not fully recorded in their care records. We made a recommendation about this.
People's medicines were managed, stored and administered safely and appropriately by staff who had been trained and assessed as competent to do so. However, there were no individual protocols about when people might need their 'when required' (PRN) medicines. We made a recommendation about implementing PRN protocols.
People were protected from the risk of abuse, and staff were knowledgeable about how to recognise and report concerns of abuse. There were systems in place to protect people from the risk of harm and abuse, and people, relatives and staff felt confident to raise concerns about unsafe care.
Risks had been appropriately assessed and staff had been provided with information on how to support people safely.
Staff were recruited safely and there were sufficient numbers of staff deployed to meet people's needs. Staff told us they felt supported and we saw evidence staff had received induction, training and ongoing supervision.
People benefitted from a home that was well led by a registered manager who was open and approachable. The provider had systems in place to review, monitor and improve the quality of service provided. This included a programme of audits and checks, such as reviewing medicines management, quality of care records, support to staff and environmental health and safety checks.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 20/11/2018 and this is the first inspection.
Why we inspected
This was the first inspection of the home since it registered with the Care Quality Commission.
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.