Background to this inspection
Updated
26 February 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
One inspector carried out this inspection.
Service and service type
Hermitage Way - Telford 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 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 announced. We gave the service 24 hours’ notice of the inspection. This was because the service is small, and people are often out and we wanted to be sure there would be people at home to speak with us.
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 asked the local authority and Healthwatch for any information they had which would aid our inspection. Local authorities together with other agencies may have responsibility for funding people who used the service and monitoring its quality. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service. In addition, we spoke with three members of staff including the registered manager and two care staff members.
We reviewed a range of records. These included two people’s care records and records of medicines administration. We confirmed the safe recruitment of two staff members and viewed a variety of records relating to the management of the service, including quality monitoring checks and incident and accident records.
Updated
26 February 2020
About the service
Hermitage Way - Telford provides accommodation and Nursing or personal care for up to seven people. On the day of our inspection, six people were receiving services. Hermitage Way - Telford supports people who have a learning disability or autistic spectrum disorder.
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’s experience of using this service and what we found
People received safe care and support as the staff team had been trained to recognise potential signs of abuse and understood what to do to safely support people.
People were encouraged to take responsibility for their own medicines and were supported by trained and competent staff members.
The provider had assessed the risks to people associated with their care and support. Staff members were knowledgeable about these risks and knew what to do to minimise the potential for harm to people.
People and staff members followed effective infection prevention and control procedure and had access to appropriate personal protection equipment.
The provider supported staff in providing effective care for people through person-centred care planning, training and one-to-one supervision.
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 Hermitage Way - Telford supported this practice.
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. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
People had access to additional healthcare services when required. Staff members knew people’s individual health outcomes and supported them appropriately.
People were supported to maintain a healthy diet by a staff team which knew their individual preferences.
People received help and support from a kind and compassionate staff team with whom they had developed positive relationships.
People were supported by staff members who were aware of their individual protected characteristics like age, gender and disability.
People were provided with information in a way they could understand.
The provider had systems in place to encourage and respond to any complaints or compliments from people or those close to them.
The provider, and management team, had good links with the local communities within which people lived.
The management team and provider had systems in place to identify improvements and drive good care.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was ‘Good’ (published 10 October 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.