13 June 2023
During an inspection looking at part of the service
The Pleasance is a residential care home providing accommodation and personal care for 15 people. At the time of inspection there were 13 people using the service. The Pleasance has 5 houses on 1 site. Each house has individual flats with communal living space and enclosed gardens. People with learning disabilities and autistic people use the service.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
The service demonstrated they were meeting the underpinning principles of Right support, right care, right culture.
Right Support
The provider had made improvements that were required after our last inspection. The care environment was safe, clean and secure. People were involved in planning their care and activities. Care was person-centred and people were supported to have maximum choice and control of their lives. Staff supported people in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Right Care
People received care and support that was person-centred and promoted their dignity, privacy and human rights. Staff had received training to keep people safe and they knew how to report any concerns about care. People were happy with the care they received. One person told us, “I am very happy with the care that I receive and [member of staff] always wants to help me.”
Right Culture
People led confident, inclusive and empowered lives because of the ethos, values, attitudes and behaviours of leaders and care staff. The service listened to people about their views of care and support and worked with the staff team to make changes and improvements. Staff knew the people they supported and they were open and honest in conversations about how they delivered care. The management team had a clear vision for the continued development of the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was inadequate following an inspection on 13 December 2022. The provider completed an action plan after the last inspection to show what they would do and by when to improve.
At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
The service was aware that it would be in Special Measures following the last inspection on 13 December 2023 and had implemented an action plan to make the required improvements. CQC issued a supplementary report on 9 May 2023 which confirmed the details of the breaches of regulation and the action that was taken.
During this inspection the provider demonstrated that improvements had been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
We carried out an unannounced comprehensive inspection of this service on 13 December 2022. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, safeguarding service users from abuse and improper treatment, premises and equipment and good governance.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from inadequate to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Pleasance on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.