Background to this inspection
Updated
27 March 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
Mr David Calwell – 6 Lord Street 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.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to speak with us.
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. 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 used all this information to plan our inspection.
During the inspection
We spoke briefly with two people who used the service and two relatives about their experience of the care provided. People we spoke with were not able to tell us in detail about their experiences. We spoke with four members of staff including the provider, care manager, and support workers. We looked around the home to check it was safe and hygienic.
We reviewed a range of records. This included two people’s care records and multiple medication records. A variety of records relating to the management of the service, including safety checks and audits were reviewed.
After the inspection
We looked at training data and spoke with people’s relatives about their experience of the care provided.
Updated
27 March 2020
About the service
Mr David Calwell – 6 Lord Street is a residential care home providing personal care for up to three people with a learning disability. There were three people using the service at the time of the inspection. The service is provided from a domestic style property, with communal areas and provides people with their own private bedrooms.
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 received safe care and were protected against the risk of abuse and avoidable harm. Staff managed people’s medicines safely and kept the home clean and hygienic. Staff assessed and managed risks to people to help keep them safe.
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 cared for by staff who were well supported and had the right skills and knowledge to meet their needs effectively. Staff supported people with their healthcare needs and worked well with external healthcare professionals. The service met people’s nutritional needs and worked with them to make sure food provision also reflected their preferences.
People were treated well, with kindness and compassion by staff who respected their privacy and dignity and promoted inclusion. The service supported people to be as independent as they were able. We received positive feedback about the caring approach of staff.
The service put people at the centre of the care they received. Staff used detailed assessments to identify people’s needs and preferences and worked to ensure people were happy with the care they received. The provider had processes to manage complaints appropriately. The service made sure people were supported to communicate and supported people with activities to enhance their wellbeing.
The service was led by an established provider who people felt was approachable and caring. People’s relatives felt the care and support their loved ones received was of a good standard. The provider understood their responsibilities and monitored the quality of the service using a range of systems.
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 22 July 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.