Background to this inspection
Updated
21 February 2020
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
63 Lambrook Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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
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. We reviewed any information we held about the service such as notifications. Notifications are information about specific events, the provider is required to send us by law. The service had also shared with us prior to the inspection, an action plan to address shortfalls in relation to medicines.
During the inspection-
We spoke with three people who were present in the home during our visit and we spoke with one relative. We reviewed care records for two people. We spoke with four members of staff including the registered manager and the coordinator.
Updated
21 February 2020
About the service
63 Lambrook Road is a residential care home providing personal care to four people with learning disabilities and/or autism.
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 supported by staff who were kind and caring and who understood their needs well. People’s views and opinions were sought and listened to. Independence was encouraged and supported.
Some improvement was required in relation to care documentation. Plans weren’t always comprehensive enough to cover people’s full range of care needs. However, the coordinator had already identified that plans needed improving and plans were in place to address this.
The provider had told us prior to the inspection that there had been concerns in relation to medicine administration and a number of errors had occurred over the past few months. People told us they felt safe and it was evident they felt comfortable and settled in the presence of staff. There were sufficient numbers of staff to ensure people received the support they needed.
Staff were positive about working in the service and received good training and support to fulfil their roles. Their performance and development needs were monitored.
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. People told us about the places and activities they enjoyed taking part in.
The service was well led. Care was person centred in nature and people were encouraged to play an active part in planning their own support. There was an open and transparent culture where people felt able to raise any issues or concerns and could be confident they would be listened to.
Rating at last inspection
The last rating for this service was good (published 6 July 2017).
Why we inspected
This was a planned inspection based on the previous rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for 63 Lambrook Road on our website at www.cqc.org.uk.