Background to this inspection
Updated
30 June 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 Health and Social Care Act 2008.
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
Nelson House 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. Nelson House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
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 reviewed the information we had received about the service since their registration. We sought feedback from the local authority and professionals who work with the service.
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.
We used all this information to plan our inspection.
During the inspection
We spoke with one person who used the service and two relatives about their experience of the care provided. We spoke with five members of staff including the registered manager, the deputy manager, and care workers. We reviewed a range of records. This included three people's care records and medicine records. A variety of records relating to the management of the service and staffing, including policies and procedures were reviewed.
Updated
30 June 2022
About the service
Nelson House is a residential care home providing accommodation and personal care for up to four people. At the time of the inspection three people were receiving support. The property is a two-storey building with individual bedrooms and communal living areas with a large garden to the rear of the property. The service offers 24-hour support.
People’s experience of using this service and what we found
People who lived at the home told us they felt safe and supported by staff. Staff were recruited safely and received training that was developed and delivered around individual needs.
Feedback received from people and their relatives described a service that delivered high quality person-centred care. The provider supported and guided people to independently take their prescribed medicines safely.
People were supported to have maximum choice and control of their lives in the least restrictive way possible and in their best interests; the policies and systems in the service supported his practice.
People had person centred care plans and were supported to access healthcare services. Staff recognised changes in people's health and sought professional advice appropriately. People were supported and provided with sufficient food and drink to meet their dietary needs.
The provider focused on building and maintaining open and honest relationships with people, their families and friends. People were consistently treated as individuals and changing needs were responded to quickly.
The provider had quality assurance tools in place to monitor the quality of care and support provided. The management team was open and responsive.
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 statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting how they were meeting the underpinning principles of Right support, right care, right culture.
Staff focused on people’s strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life. People were supported by staff to pursue their interests, aspirations and goals.
Staff promoted equality and diversity in their support for people. They understood people’s cultural needs and provided culturally appropriate care.
People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs.
The culture of the service was positive, person centred and promoted good outcomes for people.Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.
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 30 April 2021 and this is the first inspection.
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, which will help inform when we next inspect.