Background to this inspection
Updated
9 January 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
One inspector carried out this inspection.
Service and service type:
60 Holdcroft Road is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The previous registered manager had left the service and were still showing as registered with the commission. However, the provider was in the process of registering another manager with the Care Quality Commission. 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.
Notice of inspection:
This inspection was unannounced.
What we did:
We used the information we held about the service to formulate our planning tool. This included information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed other information we held about the service. This included notifications about events that had happened at the service, which the provider was required to send us by law. For example, safeguarding concerns, serious injuries and deaths that had occurred at the service.
We spoke with one person and three relatives. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We spoke with two staff, the assistant manager and manager. We viewed one person’s care records to confirm what we had observed and staff had told us. We looked at how medicines were stored, administered and recorded for three people. We also looked at documents that showed how the home was managed which included training and induction records for staff employed at the service and records that showed how the service was monitored by the manager and provider.
Updated
9 January 2019
What life is like for people using this service:
There were enough staff to support people safely. We made a recommendation for the provider to review their contingency plans in place to deal with staff absences. People were supported by safely recruited staff who had the skills and knowledge to provide effective support.
People who used the service were supported safely. People had opportunities to access the community and be involved in interests they enjoyed. People were supported by caring and kind staff who promoted choices in a way that people understood. Information was available to people in an accessible format. People’s dignity was maintained and their right to privacy was respected.
Effective care planning was in place which guided staff to provide support that met people’s diverse needs and in line with their preferences. The design and layout of the service was adapted to meet people’s needs. People received support in their best interests and in the least restrictive way possible.
Systems were in place to monitor the service, which ensured that people’s risks were mitigated and lessons were learnt when things went wrong. People and staff could approach the manager who acted on concerns raised to make improvements to people’s care. The manager understood the responsibilities of their registration with us.
The service met the characteristics of Good in all areas; more information is available in the full report below.
Rating at last inspection:
Good (report published 31 December 2015)
About the service:
60 Holdcroft Road is a is a residential care home that accommodates up to eight people living with learning disabilities or autistic spectrum disorder. At the time of our inspection there were six people living at the home. The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen 'Registering the Right Support' CQC policy.
Why we inspected:
The inspection was partly prompted by a notification of an incident following which a person using the service sustained a serious injury. This incident may be subject to a criminal investigation and as a result; this inspection did not examine the circumstances of the incident. The service continued to meet the characteristics of Good in all areas. The overall rating is Good.
Follow up:
We will continue to monitor the service through the information we receive.