19 November 2019
During a routine inspection
97 Old Street is a small residential care home providing personal care to five people, living with a learning disability, at the time of the inspection. The service can support up to five people. The care home accommodates five people in one adapted building.
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
The principles of the Mental Capacity act were followed, and the provider had plans in place to ensure all decision making was recorded appropriately. By the end of the inspection documented mental capacity assessments and best interest meetings had taken place for all required areas.
Staff were trained to a good standard and could request additional training. Peoples care, and support plans were person centred and detailed. There were enough staff to meet people’s needs. People were supported by staff who were kind, compassionate and caring and who understood their likes, dislikes and preferences.
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 protected against the employment of unsuitable staff, staff were recruited safely. Where one person had a gap in their recruitment record this was rectified immediately by the registered manager.
The service applied the principles and values consistently 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.
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.
The provider had a robust complaints policy in place that was accessible to people, their relatives and staff.
The provider and the registered manager had effective governance systems in place to identify concerns in the service and drive improvement.
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 30 May 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.