514 Arnold Road

Updated 14 December 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by an inspector over two days.

Service and service type

514 Arnold Road 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 service had a manager registered 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

We gave the service 24 hours’ notice of the inspection. This was because we wanted to cause minimal disruption to the people living there.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. This included checking incidents the provider must notify us about, such as serious injuries and abuse. We sought feedback from the local authority, Healthwatch and professionals who work with the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

We asked the provider to complete a provider information return (PIR) prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. However, the inspection commenced before the provider had finished completing the PIR. We took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke with four people who used the service and two relatives. We asked them about the quality of the care they received. We also spoke with three care staff, the deputy manager and the registered manager.

We reviewed a range of records. This included all or parts of records relating to the care of four people. We also viewed medicine administration records and records relating to the safety and management of the service.

After the inspection

We asked the registered manager to provide us with a variety of policies and procedures and additional information. All information was sent within the required timeframe. We used all this information to help form our judgements detailed within this report.

Updated 14 December 2019

About the service: 514 Arnold Road is a residential care home providing personal care for up to 10 people. People living at this home have a learning and/or physical disability. At the time of the inspection 10 people were living at this home.

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:

The risks to people’s health and safety were assessed and used to reduce risk. People felt safe when staff supported them. People were protected from risks of abuse and neglect. There were enough staff to keep people safe. People’s medicines were managed safely. The home was clean and tidy. Staff learned from mistakes to ensure people received safe care and support.

People’s needs were assessed prior to them starting with the service. Staff were well trained and had their competency to carry out their role regularly assessed. People were given the support they needed to make healthy food choices. People had access to other health and social care agencies and professionals where needed. People lived in an environment that was adapted and suitable for their needs.

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.

Staff were kind, caring and compassionate. People and relatives praised the approach of the staff. People were treated with dignity and respect and their diverse needs and choices were respected and acted on. People were supported to make decisions about their care needs and staff respected their wishes. People’s records were stored securely to protect their privacy.

People’s care was provided in their preferred way. People were empowered to make their own decisions about their lives. Staff understood people’s preferences and enabled people to make choices about their care. People were supported to maintain relationships with friends and family and to meet people from their local community. People had access to information in a format they could understand. Complaints were handled appropriately and in-line with the provider’s complaints policy. People did not currently receive end of life care.

The home was managed by dedicated and caring registered and deputy managers. All staff understood their roles and how they contributed to the success of the home. Person-centred care was at the heart of everything staff did. Staff enjoyed their role and felt their views mattered. People’s views were welcomed and valued, and action was taken to address any concerns. Quality assurance processes were in place to continually assess the standard of the care provided.

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

Rating at last inspection: The last rating for this service was Good. (Published 6 July 2017).

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.

Why we inspected

This was a planned inspection based on the previous rating.