Background to this inspection
Updated
9 May 2019
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:
This inspection was carried out by one inspector.
Service and service type: 14 Cook Close is a care home. People in care homes receive accommodation and nursing or personal care. The Care Quality Commission (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: The inspection was unannounced.
What we did:
We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about, such as abuse; and we sought feedback from the local authority. We assessed the information in the provider information return. This is key information providers are required to send us about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
During the inspection, we spoke with three people who used the service, to ask about their experience of the care provided. We observed staff providing support to people in the communal areas of the service. By observing the care received, we could determine whether or not people were comfortable with the support they were provided with.
We spoke with four members of staff including the registered manager, team leader, and two support workers.
We reviewed a range of records about people's care and how the service was managed. This included review of four people's care records, medicines administration records, meeting minutes, staff recruitment and training. We also reviewed the system for recording accidents, incidents and quality assurance audits the management team had completed.
Updated
9 May 2019
About the service: 14 Cook Close is part of the Disabilities Trust and is a community supported house. They promote independent living and aim to rehabilitate people into the community. It is registered to provide accommodation, and personal care for up to four people who have an acquired brain injury. Nursing care is not provided.
People’s experience of using this service:
People were supported in a homely environment where the culture of the service was positive, enabling and inclusive. People were supported to have maximum choice and control of their lives in the least restrictive way possible; the policies and systems in the service supported this practice.
There were systems in place to monitor the quality and safety of the service provided, and to drive improvements where this was required. The service considered people's feedback and was continuously trying to improve the service.
Staff had respectful caring relationships with people they supported. They upheld people’s dignity and privacy, and promoted their independence.
There were enough staff to support people, meet their needs and keep them safe. People were supported by skilled staff with the right knowledge and training.
People received their medicines as prescribed. Systems were in place for the safe management and supply of medicines. Incidents and accidents were investigated, trends analysed, and actions were taken to prevent recurrence.
Care plans were detailed with clear explanations of control measures for staff to follow to keep people safe. Support was planned and delivered in a structured way to ensure people's safety and wellbeing.
The service continued to be well led. The management team worked well to lead the staff team in their roles and ensure people continued to receive a good service. Staff and the registered manager showed a genuine interest and passion to deliver personalised care based on people's likes, wishes and preferences.
People had access to a variety of nutritious meals and snacks and were supported to learn skills in food preparation and cooking. People’s weights were monitored.
Staff were aware of people's life history and preferences. They used this information to develop positive relationships and deliver person centred care. People’s end of life care was considered, and people supported to express their views.
Staff roles and responsibilities were clear. Staff worked in partnership with professionals to deliver care and support and maintained links with the local community. There was a varied range of social activities on offer according to individual needs and choice.
Rating at last inspection: Good (report published on 21 October 2016).
Why we inspected: This was a scheduled inspection based on the previous rating.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk