Adele Cottages

Updated 31 December 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

Adele Cottage 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. 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 reviewed information we had received about the service since the service registered with CQC. We sought feedback from the local authority and professionals who work with the service. 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 used all this information to plan our inspection.

During the inspection

We spoke with the person who lived in the service. We observed the interactions the staff had with the person. We spoke with three members of staff including the registered manager. We reviewed a range of records. This included the person’s care records, medicine records, and staff recruitment records. A variety of records relating to the management of the service, including policies and procedures, were also reviewed.

We used the Quality of Life Tool which is designed to support the corroboration of all sources of evidence gathered during inspection

After the inspection

We continued to seek clarification from the provider to validate evidence found. We reviewed further details of specific sections of the person’s care plan. We also reviewed staff training data, and the provider’s quality assurance records. We received feedback from a professional who had contact with the service. We also received feedback from a relative of the person who lives at the care home and from one staff member who worked there.

Updated 31 December 2021

Adele Cottage provides care and support for up to two people in a single adapted building. The service specialised in supporting autistic people, people who have learning disabilities, and people who have issues with the misuse of drugs or alcohol. At the time of our inspection there was one person living in the service.

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 supporting people with a learning disability or autistic people.

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

The service could show how they met the principles of Right support, Right care, Right culture.

The person was supported to lead a confident, inclusive and empowered life because of the ethos, values, attitudes and behaviours of the management and staff. The needs and quality of life of the person being supported formed the basis of the culture at the service. Staff understood their role in making sure the person was always put first. They provided care that was genuinely person centred.

Staff felt empowered to suggest improvements and question poor practice. There was a transparent and open and honest culture between people, those important to them, staff and leaders. They all felt confident to raise concerns and complaints if necessary.

The person being supported was able 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 person's care and support were provided in a safe, clean, well-furnished and well-maintained environment which met their sensory and physical needs.

¿ The person was protected from abuse and poor care. The service had enough appropriately skilled staff to meet the person's needs and keep them safe.

¿ The person was supported to be as independent as possible and had control over their own life. Their human rights were upheld.

¿ The person received kind and compassionate care from staff who protected and respected their privacy and dignity; and understood the person’s individual needs. Their communication needs were met, and information was shared in a way that could be understood.

¿ The person's individual risks were assessed regularly in a person-centred way, and they had opportunities for positive risk taking. The person was involved in managing their own risks whenever possible.

¿ The person had proactive plans in place to reduce the need for restrictive practices. Systems were in place to report and learn from any incidents where restrictive practices were used.

¿ The person made choices and took part in meaningful activities which were part of their planned care and support. Staff supported them to work towards achieving their aspirations and goals.

¿ The person's individual care, treatment and support plans, reflected their sensory, cognitive and functioning needs.

¿ The person received support to meet their needs and work towards achieving their aspirations. Support focused on the person's quality of life and followed best practice. Staff regularly evaluated the quality of support given, involving the person and other professionals as appropriate.

¿ The person received care, support and treatment from trained staff and specialists able to meet their needs and wishes. The provider ensured that staff had relevant training, regular supervision and appraisal.

¿ The person, and those important to them, were involved in planning their care. Where needed, a multidisciplinary team worked well together to provide the planned care.

¿ Staff understood their roles and responsibilities under the Human Rights Act 1998, Equality Act 2010, Mental Health Act 1983 and the Mental Capacity Act 2005.

¿The person was supported by staff who understood best practice in relation to relevant specific genetic conditions, learning disability and/or autism.

¿ The provider’s governance systems ensured people were kept safe and received a high quality of care and support in line with their personal needs.

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 28 September 2020 and this is the first inspection.

Why we inspected

This was a planned comprehensive inspection to assess how the service was operating and to rate the service in respect of the Safe, Effective, Caring, Responsive and Well-led key questions. We undertook this inspection to provide assurance that the service is applying the principles of Right support, Right care, Right culture.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

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.