Archived: Roydon Road

Updated 31 July 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 was carried out by one inspector on one day.

Service and service type

Roydon Road 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

We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that people and staff would be there and available to speak with us.

Inspection activity started on 04 July 2019 and ended on the same day.

What we did before inspection

We reviewed information we had received about the service since the last inspection. This included any notifications which are important events the service is required to tell us about. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection-

We spoke with two out of the three people using the service and met the third person who declined to speak with us, but we observed their interactions with staff. We spoke with the registered manager, the regional manager and one care staff on shift. We looked at two staff records, a person’s care plan and other records relating to the management and oversight of the business.

After the inspection –

We spoke, on the telephone, with two more staff and two people’s relatives.

Updated 31 July 2019

About the service

Roydon Road is a residential care home providing personal and nursing care to three people and there were three people using the service at the time of inspection. People lived in a shared dwelling in an older style property and had single bedrooms and shared communal space.

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 had lived at the service for many years and it remained appropriate to their needs. Although care plans were well written they did not clearly consider people’s needs as they were getting older or consider how the environment could be adapted to better support people. We have made recommendations about this.

Risk assessments were in place and where possible equipment had been purchased to help facilitate people’s mobility and independence such as rails to hold on to when getting in and out of the bath. There were plans in place to update and refurbish parts of the home which were showing signs of age and wear and tear. Unfortunately, the accommodation was restricted in how much it could be adapted.

People clearly enjoyed their lives and were supported to undertake a range of activities in line with their individual needs. There was a core team of staff who knew people well and helped ensure people received continuity of care. Staff spoken with were sufficiently knowledgeable, felt well supported and enjoyed their job role.

There were systems in place to help ensure the service remained compliant with regulation and took into account feedback from people in terms of how the service was managed. The service had a registered manager who supported her staff and ensured their training was up to date and provided them with regular supervisions.

The registered manager was supported by other managers working for the same provider and supported by a regional and operational manager. A series of audits and health and safety checks were carried out to ensure equipment was safe to use and the environment fit for purpose. We have made a recommendation about the environment and some associated risks.

People were supported with their assessed needs and these were kept under review. Staff supported people to eat well and access health services they needed. People’s health care needs were clearly understood, and staff monitored these well.

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.

Why we inspected

This was a planned inspection based on the previous rating.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

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.