About the service 20 Towngate East is a residential care home providing personal and nursing care for up to eight people living with a learning disability. At the time of the inspection there were eight people living at the service.
20 Towngate East is an adapted house. People living have their own room and access to a range of shared facilities, including a large garden area.
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 treated with kindness and compassion. There was a happy family atmosphere, people and staff cared about each other and enjoyed spending time together.
Systems were in place to ensure people were protected from abuse and to investigate any concerns. Risks linked to people’s care were assessed and monitored. People received care from staff who knew them well and had relevant experience.
People were supported appropriately with their medicines and care was based on an assessment of their needs and their choices. People were supported to regularly access health care service to maintain their wellbeing. Sufficient home cooked food and refreshments were provided.
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.
A range of activities, outings and holidays were arranged for people to enjoy. The service had a large garden area which would benefit from further update. We have made a recommendation regarding this.
Staff had received suitable training and felt supported.
The service had regard for 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 broadly 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 opportunities to gain new skills and become more independent.
Appropriate quality checks and audits were undertaken.
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 22 March 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.