Background to this inspection
Updated
10 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
The inspection team consisted of one inspector and Expert by Experience (ExE). An ExE is a person who has personal experience of using or caring for someone who uses this type of care service. The ExE was a family carer for someone with autism.
Service and service type
62 Addington 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.
The service had a manager registered with the Care Quality Commission. This means that 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
This inspection was unannounced. The inspection site visit took place on 5 November 2019
What we did before the inspection
Before the inspection we reviewed the Provider Information Return (PIR) the registered manager had sent to us. This is information we require providers to send us at least annually to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the other information such as notifications we held about the service and the provider. A notification is information about important events the provider is required to send to us by law.
During the inspection
We interacted with four people and carried out general observations of how staff supported them. We spoke with two support staff members, the deputy manager and the registered manager. We looked at three people’s care records and the medicine administration records for four people. We reviewed four staff member’s recruitment, training and supervision records. We also checked records relating to the management of the service including quality audits and health and safety management records.
Updated
10 December 2019
About the service
62 Addington House is a residential care home that provides accommodation and personal care support for up to six adults with learning disabilities and or autism. At the time of our inspection five people were using 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 and what we found
People were safe at the service. Staff had been trained in safeguarding to protect people from abuse. Staff understood the signs of abuse and how to report any concerns in line with the provider’s procedures. There were enough staff on duty to meet people’s needs. The provider followed safe recruitment practices. Risks to people were assessed and management plans were in place to manage identified risks.
Medicines were administered and managed safely. Staff maintained accurate medicines administration records. The environment was safe and clean. Staff followed safe infection control procedures. There were systems in place for staff to learn lessons when things go wrong.
People’s care needs were assessed and their support planned based on their individual needs. Care plans were reviewed regularly to ensure support delivered to people continued to meet their needs. People’s relatives were involved in their care planning and their views were respected. People received food and drink to meet their nutritional and dietary needs. People received support to maintain good health; and staff worked effectively with health and social care professionals.
Staff were trained and supported through regular supervision. They had the skills and knowledge to meet people’s needs. The service had systems in place to enable a smooth transition when people moved between services. The home had been adapted and had suitable facilities which met people’s needs.
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. Staff understood their responsibilities under the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards.
People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
Staff understood people’s needs and treated them with respect and dignity. Staff communicated with people appropriately and supported them to express their views. People were encouraged to follow their interests and develop daily living skills. The service provided information to people in accessible formats. People were supported to maintain their religious and cultural values.
People’s relatives knew how to make a complaint if they were unhappy with the service. The service sought feedback from people and their relatives and used this to improve the service. There were systems in place to monitor and assess the quality of service provided. The service worked in partnership with external organisations to develop and improve the service.
You can read the report from our last comprehensive inspection on our website at www.cqc.org.uk.
Rating at last inspection and update:
The last rating for this service was Good (published 17 May 2017). At this inspection the service remained Good overall.
Why we inspected
This was a planned inspection based on the previous rating of the service.
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.