Corbiere

Updated 28 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 was carried out by one inspector.

Service and service type

Corbiere 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 used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

We reviewed information we already held about the service including notifications. Notifications are sent by the service to inform us about important events.

We used all this information to plan our inspection.

During the inspection

We spoke with one person who used the service about their experience of the care provided and observed three other people. We spoke with five members of staff including the registered manager, senior care workers, and care workers.

We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at five staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 28 January 2020

About the service

Corbiere is a residential care home providing personal and nursing care to four people. The service is provided in a bungalow in a residential area. It has fully accessible rooms and facilities. A maximum of four people who have learning disabilities or autism can be supported in the home. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home.

The service has 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 using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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

Staff had good awareness of signs and symptoms of abuse and had confidence any concerns would be dealt with by the registered manager. Risk assessments were completed and regularly reviewed. The premises were safely maintained, and regular checks were made to equipment and systems. Staff were safely recruited and there was minimal reliance on agency staff.

Medicines were safely managed and the process of two staff administering all medicines minimised the possibility of errors. Medicines were kept to a minimum and the provider subscribed to STOMP, a campaign to minimise overmedication.

People’s needs and wishes were assessed according to current good practice guidelines and both assessments and care plans were regularly reviewed to ensure they were current.

Staff had supervision regularly and found it to be helpful. Training and shadowing of experienced staff took place when a staff member commenced in post and new staff had to become familiar with people’s needs before working with them.

People chose what to eat and were supported to maintain a healthy weight by staff. Staff were kind and caring and supported people respectfully. People were encouraged to make day to day decisions and maintain and develop skills.

Care plans were person centred and care delivery was as the person wanted it to be. Staff knew people well and provided information in appropriate formats for them. People had one-to-one staff which enabled them to access the community and maintain relationships with friends and family.

There was a complaints procedure and the provider had clearly worked with a complainant to solve the concern they had.

The registered manager showed strong leadership and supported staff and people effectively. There was a clear management structure and senior staff worked alongside care staff. The registered manager was aware of their responsibility to submit notifications to CQC and of the duty of candour.

The provider had forged links with health and social care professionals which ensured positive outcomes for people living at Corbiere.

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.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

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 23 November 2018 and this is the first inspection.

Why we inspected

This was a planned inspection based on the date of registration.

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.