About the service 35/37 Solna Road is a residential care home providing personal care to nine people on the day of the inspection.
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.
The service was a large home, bigger than most domestic style properties. It was registered for the support of up to 11 people. This is larger than current best practice guidance. However. the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home.
People’s experience of using this service and what we found
People were well cared for by a staff team who had worked with them for many years and knew their needs well.
People were supported to engage in a range of activities both within the home and in the community.
Risks had been identified and were well managed by staff who knew people well. Risk management plans gave staff information they needed to reduce risks of harm or injury to people.
People's needs were assessed, and information was used to form personalised plans of care.
There were enough staff on shift to meet people's needs. Staff were safely recruited.
Medicines were managed safely, however we found recent recording errors which were rectified, and actions put in place to reduce the risk of this happening again.
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.
There were processes to audit the quality and safety of the service and where areas for improvement were identified, these were acted on.
The service applied the principles and values 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.
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 2 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.