Background to this inspection
Updated
11 November 2015
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 9 and 12 October 2015 and was unannounced. An adult social care inspector carried out this inspection.
Before the visit we reviewed previous inspection reports, notifications and enquiries we had received. Services tell us about important events relating to the service they provide using a notification. We received written feedback from a learning disability quality assessor from the local authority.
During our visits we spoke with one person using the service and spent time observing the care and support provided by staff. We spoke with the registered manager and six members of staff. We looked at two support plans, staff training records and a selection of quality monitoring documents.
After our visits we spoke with one relative and received written feedback from two healthcare professionals.
Updated
11 November 2015
This inspection took place on 9 and 12 October and was unannounced. Tewkesbury View Care Home can provide accommodation and personal care for up to six adults with a learning disability, autism spectrum condition and/or physical disability. Four people were living at the home when we visited and they had a range of support needs including help with communication, personal care, moving about and support if they became confused or anxious. Staff support was provided at the home at all times and people required the support of one or more staff when away from the home.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.
We found one breach of our regulations. There were detailed health and care records in place for people but some important information was either missing or had not been updated in some records. This increased the risk that people might not receive care that met their needs and preferences.
People were supported by a caring and dedicated staff team who knew them well and treated them as individuals. Staff worked hard to understand what was important to people and to meet their needs despite the difficulties some people had communicating. Staff were patient and respectful of people’s unique preferences.
Staff supported people to take part in activities they knew matched the person’s individual preferences and interests. People were encouraged to make choices and to do things for themselves as far as possible. In order to achieve this, a balance was struck between keeping people safe and supporting them to take risks and develop their independence.
Some people had complex health needs and these were met by staff who worked closely with health and social care professionals. Staff understood when they needed guidance from professionals and followed their advice.
Staff felt well supported and had the training they needed to provide personalised support to each person. Staff met with their line manager to discuss their development needs and action was taken when concerns were raised. Staff understood what they needed to do if they had concerns about the way a person was being treated. Staff were prepared to challenge and address poor care to keep people safe and happy.
The provider had established a clear set of values for the service that staff understood and followed. Senior staff sought feedback from people, relatives and healthcare professionals on the quality of the service and took action to address any problems. Learning took place following any incidents to prevent them happening again.