Background to this inspection
Updated
27 October 2021
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
This inspection was carried out by one inspector.
Service and service type
Fitzroy-Teddington is a care home and supported living service for up to 14 people. 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. Supported living services provide personal care to people as part of the support that they need to live in their own homes. The personal care is provided under separate contractual arrangements to those for the person's housing. Both were looked at during this inspection. All the people who live at Fitzroy-Teddington have a learning disability. There were four people using the supported living service and eight living in the care home during the inspection.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
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
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. We checked notifications made to us by the provider, safeguarding alerts raised regarding people living at the home and information we held on our database about the service and provider. We used all this information to plan our inspection.
During the inspection
We were introduced to eight people using the service however, they were unable to give us their views verbally. 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.
We spoke with or contacted 17 relatives including one who was visiting during the inspection, seven staff, and the deputy and registered manager. We looked at the personal care and support plans for four people and four staff files. We contacted nine health care professionals to get their views.
After the inspection
We requested additional evidence to be sent to us after our inspection. This included the training matrix, staff rota, audits and activities information. We received the information which was used as part of our inspection.
Updated
27 October 2021
About the service
Fitzroy-Teddington provides care home accommodation and personal care in a supported living service for up to fourteen people in two separate buildings. All the people who live at Fitzroy-Teddington have a learning disability. There were 12 people using the service, eight in the care home and four in supported living, at the time of the inspection.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
People’s experience of using this service and what we found
People received high quality, responsive, person centred care and were supported with their needs that were regularly reviewed and recorded in their care and support plans. They had choices, followed their interests and hobbies and led very active social lives. People and their relatives received information in an open and timely way that enabled them to make decisions. Complaints were recorded and investigated.
The home’s management and leadership was transparent with an open, positive and honest culture as reflected in the feedback we received from relatives, staff and healthcare professionals and the supportive management practices we saw. The organisation had a vision and values that were clearly set out, understood by staff and followed. Areas of responsibility and accountability were identified, and high quality service maintained and reviewed. Audits were thoroughly carried out and records kept up to date. Excellent community links and working partnerships were established and kept up minimising social isolation. All the healthcare professionals said that the service was very well managed and met people’s needs in a professional, friendly and open way.
The home was a safe place for people to live and staff to work in. People's positive responses and body language indicated that they enjoyed living at Fitzroy-Teddington. Risks to people were assessed and reviewed. This enabled them to take acceptable risks, enjoy their lives and live safely. Accidents, incidents and safeguarding concerns were reported, investigated and recorded with any lessons learnt. There were suitable numbers of appropriately recruited staff to meet people’s needs. Medicine was safely administered.
People did not experience discrimination against them and their equality and diversity needs were met. Staff, who were well-trained and supervised, spoke to people in a patient, clear way that they could understand. People’s health needs were understood by staff who provided them with access to community-based health care professionals, as well as support staff employed at the home. People were protected by staff from nutrition and hydration risks and they were supported to choose healthy and balanced diets that also met their likes, dislikes and preferences. The premises were adapted to people’s needs. Transition between services was based on people’s needs and best interests.
The service had a warm, welcoming and friendly atmosphere with people enjoying the way staff gave them care and support. The staff we observed were caring and compassionate. Many positive interactions took place between people, staff and each-other. Staff upheld people’s privacy, dignity and confidentiality. People had access to advocates and were encouraged and supported to be independent.
People were supported to have maximum choice and control of their lives. Staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
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 guidance CQC follows to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture. People received person-centred care in a setting that enabled them to have maximum choice, control and independence and promoted their dignity, privacy and human rights. The positive culture, ethos, values, attitudes and behaviours of leaders and care staff ensured people using service lead confident, inclusive and empowered lives.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
This service was registered with us on 29/10/2019 and this is the first inspection.
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.