Background to this inspection
Updated
12 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. 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 carried out by one inspector. People lived with a hearing impairment, so we used a British Sign Language interpreter so that we could communicate with people effectively. This ensured that people could share their experiences of living at the home with us.
Service and service type
RNID Action on Hearing Loss 60 Olive Lane 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 reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. 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 used all of this information to plan our inspection.
During the inspection
We spoke with six people who used the service and one relative about their experience of the care provided. We spoke with four members of staff including the registered manager, deputy manager, senior care workers and care workers.
We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
Two relatives contacted us after the inspection to provide feedback about their loved one’s care.
Updated
12 December 2019
About the service
RNID Action on Hearing Loss 60 Olive Lane is a care home providing accommodation and personal care for up to eight people. At the time of the inspection seven people were living in the home. People lived with a profound hearing impairment and other needs. These included needs relating to old age, poor mobility, dementia, learning disabilities or autistic spectrum disorder and mental health conditions.
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. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives.
People’s experience of using this service and what we found
People felt safe and staff had good knowledge of safeguarding processes. There were enough staff to support people safely. Care plan and risk assessments were up to date and reviewed regularly. 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.
People were treated with kindness and compassion. People felt well supported. People were listened to. People’s privacy and dignity was maintained.
People’s communication needs were met. People were supported to take part in activities they enjoyed. People’s personal preferences were identified in their care plans. People were supported to maintain relationships.
Systems were effective for monitoring the quality and safety of the services provided. There was good involvement with community professionals. People and relatives were involved in decisions about their care.
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.
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 31 May 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.