Compass Care - South Park

Compass Care – South Park is a residential care home providing accommodation and personal care for up to 10 people. This includes people living with sensory impairments and people living with a learning disability. At the time of our inspection 10 people were using the service.

The provider also operates a domiciliary care agency, which was providing personal care to 1 person at the time of inspection.

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

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 The Care Quality Commission (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:

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 in the service supported this practice.

People’s care records were person centred. They reflected people’s individual needs and risks to enable staff to support them safely.

Staff adapted their communication style to meet people’s needs and actively engaged with them. Information was provided for people in adapted formats where required.

People were always given a choice regarding their care, support, and daily lives. Staff supported people to participate in activities that were important and enjoyable to them.

Staff knew people well and had built positive and trusting relationships with them.

Right Care:

Care records detailed people's preferences regarding how their care should be delivered. This meant people received person centred care, from a staff team who knew people well.

Staff supported people in a kind and caring way that respected their privacy and dignity. People were encouraged to maintain their independence.

The service worked in partnership with healthcare professionals to care for people holistically and meet their health and support needs.

Right Culture:

There was an open and positive culture at the service which placed people at the centre of care delivery and achieved good outcomes for them. People were supported to live inclusive lives and access the community.

Systems and processes were in place to monitor the quality of the service and drive improvements.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 08 October 2019) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last 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.

The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

Recommendations

We have made recommendations regarding systems and processes for reporting safeguarding incidents and recording information relating to recruitment.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Compass Care - South Park is a care home providing personal and nursing care to a maximum of ten adults. The registered provider also operates a domiciliary care service for people.

The domiciliary care service offers care to people who live in the Bradford area. Two people using this service received support with 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. The care home is based in two adjoining dormer bungalows, there were ten people were living at the home at the time of the inspection.

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 using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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

A range of audits were completed within the home. These had failed to identify or address the shortfalls highlighted within the inspection report. Where an issue was raised in a staff meeting, minutes from the following meeting did not evidence if the issue had been resolved.

Environmental risks to people’s safety and well-being were not always identified. Not all aspects of the home were clean. Medicines were managed safely although the senior care worker had to combine administering people’s medicines as well as organising people’s breakfasts. The recruitment of staff was safe.

There was a programme of induction for new staff and all staff received regular training. Although staff felt supported, they had not all received regular supervision or appraisal. People had access to other healthcare professionals as the need arose.

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 in the service supported this practice.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

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.

The relatives we spoke with told us their relations were happy living at Compass Care – South Park. We observed staff to be kind and caring. Staff treated people with dignity and respect. People right to privacy was respected.

Care records were detailed, and person centred. Daily records were electronic, they did not always accurately reflect the time people received support and information about their activities was not always included. Relatives were aware of how to complain should the need arise.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 19 June 2018), there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection not enough improvement had not been made/sustained and the provider was still in breach of regulations.

The service remains rated requires improvement. This service has been rated requires improvement for the last two consecutive inspections.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to safe care and treatment and governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will also request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Compass Care South Park 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 provider also operates a domiciliary care service for people who live in the Bradford area.

Compass Care South Park provides accommodation and personal care for up to 10 people with learning disabilities. The accommodation is based in two adjoining dormer bungalows close to Huddersfield town centre. There were 10 people living there at the time of the inspection. The domiciliary care service offers care to people who live in the Bradford area and there were three people using this service.

The last inspection was in September 2015 and the service was rated ‘good’ at that time. At this inspection we found there were two breaches of the regulations, in relation to people’s safe care and treatment, and good governance.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Staff knew how to identify and report any concerns and risk management plans for individuals were detailed. However, we had concerns about the premises and some equipment; some aspects were in need of attention to ensure infection prevention measures were adequate and for people’s safety.

Staff were well supported through regular training and supervision, and there was effective teamwork and communication to meet people’s needs.

People said they enjoyed the meals, but the mealtime experience needed to be improved for people. People had individual choices, although there was limited opportunity for mealtimes to be a sociable occasion.

Staff respected people’s rights, wishes and choices and there was consultation with people about their care and support. Staff understood the legislation regarding people’s mental capacity and human rights.

People were treated with respect and staff were considerate about people’s dignity and privacy.

Care records were person centred and shared with people where possible. There was evidence of some activities, although these were not always purposeful for people when indoors. One person spent long periods in their chair and some people sat passively with nothing to do.

The service had a very visible management team who knew people well and were actively involved in their care alongside support staff. Audits of quality were in place although these were not all robust enough to identify some areas highlighted at the inspection.

There were breaches of the Health and Social Care Act (Regulated Activities) Regulations 2014, regulations 12, safe care and treatment and 17, good governance.

You can see what action we told the provider to take at the back of the full version of the report.

People told us they were happy living at the home and they were looked after by the staff.

People told us that they had plenty to do, like visiting the day centre and going to organised social events.

People told us they felt safe, and liked living in the home. They said they were happy with the care they received and were able to make choices about their care with help from the staff.