Background to this inspection
Updated
21 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
One inspector carried out this inspection.
Service and service type
Royal Mencap Society - 2 Conroy Close 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.
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 spoke with other professionals who work with the service. 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 spoke with eight people who used the service and three relatives about their experience of the care provided. We spoke with six members of staff including registered manager, deputy manager, team leaders, and care workers. 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 reviewed a range of records. This included three people’s care records and three medication records. We looked at two staff files in relation to recruitment and two to review staff supervision records. Multiple records relating to the management of the service and a variety of policies and procedures developed and implemented by the provider were reviewed.
After the inspection
We continued to seek clarification from the provider to corroborate evidence found. We looked at training data, staff supervision data and quality assurance records.
Updated
21 December 2019
About the service
Royal Mencap Society - 2 Conroy Close is a care home providing personal care for up to six people with a learning disability. At the time of our inspection six people lived at the service.
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
People living at Royal Mencap Society - 2 Conroy Close were happy and received person centred care and support from experienced and trained staff. Staff were recruited safely and understood the principles of keeping people safe. Medicines were managed safely, and risks were assessed.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People’s health was well managed, and the service worked with other health and social care professionals and followed best practice guidance.
Staff were kind and caring towards people. People told us the staff were always available to support their needs. Staff had clear knowledge of people’s diverse needs and it was clear that trusting relationships had been formed. People were treated with respect, dignity, and to maintain their independence.
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 were supported to make links in the wider community and were prevented from becoming socially isolated. Staff understood their roles clearly and knew what was expected of them to promote people’s wellbeing.
The provider, registered manager and staff had a strong ethos of person-centred care and placed
people's wellbeing at the heart of their work. Quality assurance systems in place, monitored the service effectively and drove improvements when they were needed. Lessons learnt were used as learning opportunities to continuously develop the service.
We have made a recommendation about the effective use of governance systems in place at the service as these failed to identify the recording issues we found in one care plan or the equipment and flooring that required in attention in the bathroom
For more details, please see the full report which is on the Care Quality Commission website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 05 June 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.