Updated 25 January 2024
Salthouse Road is a care home. The service provides specialist support to people with a learning disability and / or autistic people. Site visits were on 13 and 19 February 2024. At the last inspection, the service had been awarded an overall rating of good. However, at this assessment we found areas of concern. Until we have assessed more quality statements in all key questions the rating for this service remains the same. There were enough staff to safely support people and staff received training and felt well supported. Care plans were detailed and provided person-centred information. People had access to health professionals and there was input from people’s relatives and representatives. The principles of The Mental Capacity Act (2005) (MCA) were understood by staff. However, there were 3 breaches of the legal regulations in relation to safe care and treatment, governance and not notifying CQC of all relevant incidents. Processes were ineffective in highlighting and addressing some of the issues found during our assessment. This included staff not consistently following guidance contained within risk assessments and elements of medicines recording not in line with best practice. 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 which providers must have regard to. The service demonstrated meeting some of the principles of this guidance, however this was not consistent, and a closed culture had developed. The provider had started to address this shortly prior to our assessment commencing. We have asked the provider for an action plan in response to the concerns found at this assessment.