Background to this inspection
Updated
24 September 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 team consisted of one inspector.
Service and service type
32a Broadgate 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 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
We gave the registered manager three days’ notice because the people who lived in the service had complex needs for care and benefited from knowing in advance when we would be calling.
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 took this into account when we inspected the service and made the judgements in this report. 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 gave the provider the opportunity to share this information during the inspection visit.
During the inspection
During the inspection visit we observed all the people who lived in the service, and the interactions they had with staff. We spoke with three care staff, the deputy manager and the registered manager. We observed care that was provided in communal areas and looked at the care records for three of the people who lived in the service.
We reviewed a range of records. This included three people’s care records and medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at the training data. We spoke to two commissioners who had recently visited the service. The local District Nursing team, Marie Curie Nurse, physiotherapist and Nurse practitioner were also contacted as well as speaking with three relatives by phone.
Updated
24 September 2020
About the service
SENSE – 32a Broadgate Lane is a home registered to provide accommodation and personal care for six adults who have a learning disability and/or a sensory disability. At the time of our inspection visit there were six people living in the service. Most of the people did not have sight and/or hearing. In addition, all of them had special communication needs and used personal forms of sign assisted language.
The service has been developed and designed in line with the principles and values underpinning Registering the Right Support and other best practice guidance. This ensures 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 which include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support which is appropriate and inclusive for them.
The service is a six bedded bungalow. The building design fits into the residential area and has a garden on two sides overlooking open fields. There were no identifying signs outside to indicate it was a care home.
People’s experience of using this service and what we found
People were supported by staff who were passionate about giving people the right support. The staff team were exceptionally sensitive to the needs of people with sensory loss.
Staff understood which things were important to everyone; skilled support from staff enabled people to experience the world around them, and to feel connected to friends, family and the local community.
People were supported by a small team of staff that knew them well. Staff knew what to do if they were concerned about the safety of the person. Staff were trained, supervised and supported in their roles.
People's needs were assessed, and a comprehensive care plan was in place to help them. This was done working closely with commissioners and health and social care professionals. Feedback was very positive from relatives and professionals about the care and support that was in place for people.
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 outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent. Relatives told us their supported person “was now doing things we never thought they would be able to, including holding and drinking from a cup, eating with a knife fork and spoon and walking with support from their home to a car”
The registered manager was keen to continually improve and develop the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
The last rating for this service was Good (published 19 September 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.