46 Derby Road

Updated 14 November 2018

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 comprehensive inspection took place on 18 October 2018 and was unannounced.

The inspection team consisted of two inspectors. Prior to this inspection, we reviewed information that we held about the service such as notifications. These are events that happen in the service that the provider is required to tell us about. We also considered the last inspection report and information that had been sent to us by other agencies. We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We also contacted commissioners who had a contract with the service.

During the inspection, we spoke with three people who used the service for their views about the service they received. We also spoke with the operations manager and three care staff.

We looked at the care records of two people who used the service. The management of medicines, staff training records, as well as a range of records relating to the running of the service. These included audits and checks and the systems adopted by the provider to monitor the quality and safety of people’s care.

Updated 14 November 2018

We inspected the service on 18 October 2018. The inspection was unannounced. 46 Derby 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 accommodates three people and on the day of our inspection three people were using the service.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

At our last inspection on 1 March 2016 we rated the service ‘good.’ At this inspection we found the evidence continued to support the rating of ‘good’. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

There was a registered manager. 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 2008 and associated Regulations about how the service is run. The registered manager was visible and approachable in the home. They worked with the provider to ensure that the quality of people’s care was monitored and improved.

People continued to receive care in a way that maintained their safety but promoted their independence. Staff were confident in the action that they should take if they were concerned people may be at risk. The provider ensured that sufficient numbers of staff that had been subject to pre-employment checks were deployed in the home. Accidents and incidents were analysed for trends by the registered manager and provider and lessons learnt to reduce instances of accidents or incidents occurring again.

People’s needs were assessed by staff that were supported by regular supervision and had access to the training they needed to equip them with the skills to provide personalised care. People were supported to eat and drink enough and their health and well being was promoted by staff who worked openly with other professionals involved in their care.

People were protected under the Mental Capacity Act 2005 (MCA). People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

Staff knew people well and people were treated with respect and compassion. People were supported to have control over the care they received and detailed plans of care had been developed to provide guidance for staff in providing personalised care and support.

There was an open and transparent and person-centred culture with visible and effective leadership.

Further information is in the detailed findings below.