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.About the service
12 Church Avenue Harrogate is a residential care home providing personal care for up to six people. At the time of the inspection they were supporting six people with dual sensory impairment/loss and/or people with learning disabilities. 12 Church Avenue Harrogate is a semi-detached house with communal spaces and bedrooms over three floors.
People’s experience of using this service and what we found
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 to have the maximum possible choice, control and independence be independent and they had control over their own lives. People were supported by staff to pursue their interests and take part in activities in their local area including interacting online with people who had shared interests. More needed to be done to document and support people to meet their goals and aspirations.
Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome. Staff supported people to play an active role in maintaining their own health and wellbeing.
The service was personalised and reflective of the people that lived there, their interests and people proudly displayed their own artwork. However, the décor and furnishings were old and tired, and the provider had plans to refurbish and replace the existing furnishings to better meet their needs.
Right Care
People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to people’s individual needs. Staff understood how to protect people from poor care and abuse and the service worked well with other agencies to do so.
People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs.
Staff knew people well and treated them like family. More staff were needed in the evenings and at weekends to support people into the community as they wanted.
Right culture
People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff. Staff knew and understood people well and were responsive, in supporting their aspirations to live a quality life of their choosing.
Staff turnover was very low, which supported people to receive consistent care from staff who knew them well. Staff placed people’s wishes, needs and rights at the heart of everything they did. Staff valued and acted upon people’s views.
For more details, please see the full report which is on the Care Quality Commission’s (CQC) website at www.cqc.org.uk.
Rating
This service was registered with us on 1st December 2020 and this is the first inspection.
The last rating for the service under the previous provider was good, (published on 5 December2018.)
Why we inspected
We undertook this inspection to assess that the service is applying the principles of right support right care right culture. We also inspected this service to provide the new provider with a rating.
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.
Recommendations
We have made recommendations around staffing levels and deployment.
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.