Mr & Mrs A H Akbarally

Updated 24 May 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 one inspector.

Service and service type:

Mr and Mrs Akbarally is a residential care home for three people. On the day of our inspection, two people were living in the home. The home supports people with severe learning and physical disabilities. 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 visit because it is small and the manager is often out of the office supporting staff or providing care. We needed to be sure that they would be in.

What we did:

We reviewed the information we held about the service. This included the previous inspection report, notifications since the last inspection and feedback from the local authority. Notifications are changes, events and incidents that the service must inform us about.

During the inspection, we spoke with two people, two relatives and three staff. We reviewed care records and policies and procedures. We reviewed three people’s care records, and three staff files around staff recruitment, training and supervision. Records relating to the management of the service and a variety of policies and procedures developed and implemented by the provider were also reviewed.

Updated 24 May 2019

About the service:

Mr and Mrs Akbarally is a residential care home for people with learning disabilities. The home can accommodate up to three people. At the time of the inspection there were two people living at the home. People at the home had a range of learning disabilities.

People’s experience of using this service:

People told us this service was a cosy family home and that is exactly what we saw. The size of this service meant that staff were engaged with people all day alongside the two managers who knew them very well. Even though the people and staff had been at this service together for at least seven years, the work was still ongoing to ensure that care standards were maintained. Relatives felt comforted to know their family were safely looked after by kind and caring people.

The management team ensured that they worked in line with ‘Registering the Right Support’ and other best practice guidance. These values include choice, promotion of independence and inclusion to ensure that people with learning disabilities can live as ordinary a life as any citizen. The size of service met current best practice guidance. This promotes people living in a small domestic style property to enable them to have the opportunity of living a full life.

People’s needs were consistently met and assessed to enable improvements and progress in their lives. Risks to people were assessed and managed to balance people’s safety and right to lead a non-restricted life. There were enough well trained staff to ensure people were supported safely at all times.

People, relatives and staff were engaged via meetings so that everyone could contribute to the development of the service. There was a credible strategy in place with plans for improvements at the service. This was being implemented by the registered manager who was pro-active in considering how the service could be improved.

People received person centred care that supported them to take part in activities they enjoyed. People knew how to complain and were confident in approaching the managers.

Rating at last inspection:

Good (Published October 2016)

Why we inspected:

This was a scheduled comprehensive inspection. We inspect all services rated as 'Good' within 30 months to ensure that we regularly monitor and review the quality and safety of the service people receive.