23 July 2019
During a routine inspection
Martins Care - the Angels is a residential care home providing personal care and accommodation to two people at the time of the inspection. The service can support up to four people.
Martins Care- the Angels accommodates two people in one adapted building. 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
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.
People received safe care and support by the registered manager who understood how to recognise signs of abuse or risk and understood what to do to safely support people. People were supported to take positive risks, to ensure they had as much choice and control of their lives as possible. We observed medicines being given safely to people.
Care and support was planned with people to ensure positive outcomes and experiences. People were supported to eat healthily and access their local community healthcare services when required. People were supported to have maximum choice and control of their lives and the registered manager supported them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice, as records were out of date. The home environment was well maintained and adapted to support people to live a fulfilled life.
Everyone we spoke with was consistent in their views that the registered manager was kind, caring and supportive. People were relaxed, comfortable and happy in the company of the registered manager and engaged in a positive way. People were involved in making decisions about their care and support needs. People's privacy and dignity was respected, and their independence promoted.
The registered manager was committed to delivering care in a person-centred way based on people's preferences and wishes. The registered manager was knowledgeable about the people they supported and had built trusting and meaningful relationships with them. People were supported to maintain relationships with those that were important to them. Activities were tailor-made to people's preferences and interests. People were encouraged to go out and form relationships with members of the community. People knew how to make a complaint if they were unhappy.
The registered manager continually checked that people and their relatives were satisfied and confident in the standard of care provided within the service. Whilst the registered manager continuously monitored, assessed and improved the service provided, there were no formal systems and records in place. The service was in transition to a shared lives provision. A shared lives scheme provides people with long-term placements within shared lives carers own homes.
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 January 2017). We rated Safe, Effective, Caring and Responsive as good and the key question Well-led requiring improvement.
Why we inspected
This was a planned inspection based on the previous rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Martins Care- the Angels on our website at www.cqc.org.uk.
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.