Archived: Summerville

Updated 18 October 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.

Service and service type

Summerville 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 who was in the process of registering with the Care Quality Commission. Once registered, this means 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 and used this information to plan our inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection-

We met and spoke with each person who used the service. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We spoke with three members of staff including the manager.

We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at a variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 18 October 2019

Summerville is a residential care home providing accommodation and personal care for up to four people with learning disabilities and other needs. Some of their needs included behaviours that challenged, emotional and communication needs. At the time of the inspection three people lived at the service. They each received personal care, which is help with tasks related to personal hygiene and eating.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensured that people who used the service could live as full a life as possible and achieve the best possible outcomes that included control, choice and independence. People using the service received planned and co-ordinated person-centred support that was appropriate and inclusive for them.

People’s experience of using this service and what we found

People told us they felt safe living at Summerville, we saw they were relaxed and confident with the staff who supported them.

Medicines were stored and managed safely. Policies and procedures supported the safe administration of medicines. People received their medicines when they needed them and staff who gave medicines were trained and their competency checked.

People were protected from abuse. When potential safeguarding incidents occurred, staff followed correct processes and reporting procedures and had received regular safeguarding training. Managers investigated concerns and informed the Local Authority safeguarding team and the Care Quality Commission (CQC) as required. A matter was being investigated by the Local Authority Safeguarding team and remained ongoing at the time of this inspection.

Staff were knowledgeable about the Mental Capacity Act 2005. They knew to seek consent for care and knew the process to help those who lacked capacity to make decisions. People’s needs were met by the adaptation and design of the service.

Care plans were up to date and contained the level of detail needed. Risks to people had been identified, detailed risk assessments were in place as well as guidance mitigate risk. Accurate records about people’s care and treatment had been kept and were up to date.

People’s care was based on their needs and preferences. People were supported to do things they enjoyed and independently choose how to spend their time. An appropriate accessible complaints system was in place.

People and their families were involved in assessments to ensure the service could meet their needs. Staff received training and support they required to enable them to fulfil their roles. 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 told or indicated to us they were happy living at Summerville and liked the staff team who supported them. They were supported to express their opinions about their care. People and staff had positive relationships. Staff understood people’s conditions and needs well and responded to provide the support they needed. Managers understood and met their regulatory responsibilities.

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 Requires Improvement (published 4 October 2018) and there was one breach of regulation. 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.

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.