Background to this inspection
Updated
19 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
This inspection was undertaken by one inspector.
Service and service type
Patrick House 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.
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. We obtained the views of professionals who may have visited the service, such as service commissioners and Healthwatch (Nottingham). Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of 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 spoke with the six people who used the service about their experience of the support provided. We also spoke with two support workers, the senior support worker, the registered manager and area manager.
We reviewed a range of records. This included two people's care plans, eight medication administration records, staff training, supervision and recruitment records. We also looked at other records relating to the management of the service, such as quality assurance audits, policies and procedures.
We spent time observing the daily life in the service and we looked around the building to check it was safe and clean.
Updated
19 December 2019
About the service
Patrick House is registered to provide personal care for up to six people with a learning disability. At the time of the inspection six people were living at the service. Accommodation is provided over three floors, accessed by stairs. A communal lounge and kitchen dining area are based on the ground floor.
People’s experience of using this service and what we found
People told us they liked living at Patrick House. They told us they felt safe and respected by staff. People were supported to lead active and independent lives, in line with their needs and wishes.
People’s care plans contained guidance for staff about how to provide support safely and to minimise risks to people whilst promoting their independence. Staff were trained in their responsibilities for safeguarding adults and knew what action to take if they witnessed or suspected any abuse.
Systems were in place to make sure people received their medicines as prescribed. Staff supported people to maintain their health by making appropriate referrals to community health professionals and acting on any advice they were given.
There were enough staff provided to meet people’s needs. We observed staff were available to support and advise people throughout the day and as people needed this.
The provider had recruitment procedures in place to make sure staff had the required skills and were of suitable character and background.
Staff were provided with regular training, annual appraisals and supervisions, which supported them to conduct their roles effectively.
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 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 were involved in menu planning and shopping for food, to promote choice and independence. Staff were aware of people’s dietary requirements and preferences.
The provider had a complaints procedure in place. Information about how to complain was provided to people. People living at the service said they could talk to the registered manager and staff if they had a complaint or any worries.
The registered manager understood the regulatory requirements and monitored the quality and safety of the service on a regular basis. Staff displayed a commitment to their role. They told us they loved their jobs and would recommend Patrick House as a place to work and a place to live.
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 20 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.