Background to this inspection
Updated
1 July 2022
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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by one inspector.
Service and service type
24 Fortune Gate is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. 24 Fortune Gate is a care home without nursing care. 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 inspection
We reviewed information we had received about the service since its registration. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.
During the inspection
We communicated with the two people who lived at the home. People had limited verbal communication but responded to simple words and gestures using signs, words and body language. We observed staff communicating with people using signs and language they understood.
We spoke with three members of staff including the registered manager, a support worker and a business manager.
We reviewed a range of records. This included two people’s care records and two medication records. We looked at three 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.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with a professional who had recently visited the service.
Updated
1 July 2022
About the service
24 Fortune Gate is a residential care home providing personal care to two people with learning disabilities and autistic people at the time of the inspection. The service can support up to three people.
People’s experience of using this service and what we found
We expect¿health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and 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 supporting¿people with a learning disability and autistic people and providers must have regard to it.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right support:
Staff supported people using person centred guidance. They had engaged with specialist professionals where appropriate to develop plans to meet people’s specific needs. The provider had recruited staff who were able to communicate with people using languages they understood.
Right care:
People’s care plans and risk assessments were person centred and had been updated to reflect changes in their needs. People were treated with dignity and respect. Staff were provided with guidance on meeting people’s communication, behavioural and cultural needs and preferences. People were treated with dignity and respect. We observed staff engaging positively with people and asking for consent.
Right culture:
The provider had ensured staff were provided with the support and tools they required to ensure people’s needs and preferences were met. There was evidence that family members and others were engaged in people’s support where they were unable to make decisions for themselves.
People’s medicines were safely managed. People were protected from preventable risk, including risk of infection.
Staff were safely recruited and received the training, supervision and support to enable them to meet people’s assessed needs.
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 at the home supported this practice.
The provider had undertaken regular quality assurance monitoring to ensure the home was meeting regulatory standards and best practice.
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 14 January 2020 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.