35 Priory Grove

Updated 13 November 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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was completed by one inspector.

Service and service type

35 Priory Grove 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

This inspection was unannounced.

What we did before the inspection

We looked at information sent to us since the last inspection such as notifications about accidents and safeguarding alerts. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We contacted the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all this information to plan our inspection.

During the inspection

We spoke with two care staff and the registered manager. We looked at the cleanliness of the service and the facilities available for people. We observed how staff interacted with people and looked at a range of documentation including one person’s care file and medication records. We looked at a selection of documentation for the management and running of the service and three staff files.

After the inspection

The registered manager sent further information regarding end of life care, maintenance certificates, care file audits and controlled medication records. We received feedback from two healthcare professionals who regularly visit the service.

Updated 13 November 2019

About the service

35 Priory Grove is a small residential care home providing personal care to a maximum of four people with a physical or learning disability and who may be living with dementia. The home is a purpose-built bungalow with four bedrooms, bathroom facilities, communal areas and enclosed garden. At the time of our inspection, four people were using the service.

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

People were protected from avoidable harm and abuse by trained, knowledgeable staff. People were supported by a small group of staff who had a positive approach to risk management and helped people to safely make the most of opportunities and activities.

Recruitment, induction and ongoing processes helped ensure only suitable staff were employed and that they had the required skills and knowledge. Staff were supported by the registered manager through supervision and team meetings.

Staff closely monitored people’s health and supported them to access appropriate healthcare services. Staff followed professional advice and helped people to improve their health and wellbeing. People’s dietary needs were catered for and people received their medicines as prescribed.

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.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. 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 accessed a wide variety of activities which were tailored to their interests. People were supported to follow their own routines and staff provided person-centred care that met people’s needs.

The registered manager had promoted a positive and supportive culture which supported people to achieve good outcomes. People, relatives and professionals were included in the development of the service. Quality assurance systems had maintained the quality and safety of the service.

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

Rating at last inspection

The last rating for this service was good (published 1 March 2017).

Why we inspected

This was a planned inspection based on the previous rating.

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.