About the service Mill Road provides personal care to younger adults who have a learning disability and autism. 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. At the time of our inspection, there were only four people receiving personal care.
Everyone receiving care lived in a shared house that could accommodate up to 10 people The service was a large home, bigger than most domestic style properties. This is larger than current best practice guidance. However. the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size.
People’s experience of using this service and what we found
There were times the manager was unable to have robust oversight of care as they had been rostered on as a carer. This also meant they were not able to update relatives of things relating to their loved ones ongoing care. However, on the second day of the inspection the manager told us moving forward they were going to become supernumerary.
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.
Right support:
• Model of care and setting maximises people’s choice, control and independence. People had an opportunity to decide about whether they wanted to live at Mill Road. Staff supported people with daily life skills and supported people to make their own decisions about their care.
Right care:
• Care is person-centred and promotes people’s dignity, privacy and human rights. Staff knew how to ensure each person was supported as an individual in a way that did not discriminate against them in any way.
Right culture:
• Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives. Staff and the management team ensured that people were at the centre of the delivery of care. People were treated as individuals whose life and experiences were considered and factored into care planning.
People, their relatives and staff told us the registered manager and the senior staff were supportive, valued their input and ensured that they were included in any changes to the service provision. The took a personal interest in people and knew them well.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support right care right culture.
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.