Background to this inspection
Updated
5 April 2022
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.
Service and service type
Mrs Valerie Bullman - 18 Leafdown Close is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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 is not required to have a manager registered with the Care Quality Commission because the provider is also the manager. This means they are solely, legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave 24 hours' notice of the inspection because the service is run from a domestic home environment and we needed to be sure the provider and the person who lived there would be in the home to support the inspection.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
During the inspection, we spoke with the person who lived at the service and the provider. The provider did not employ staff as they were always available to support the person. We observed the delivery of care and support provided to the person living at the home and their interactions with the provider. We reviewed the care records of the person and other records relating to the management of the service.
Updated
5 April 2022
About the service
Mrs Valerie Bullman - 18 Leafdown Close is a care home service without nursing and accommodates one person with a learning disability in a domestic home environment. At the time of the inspection there was one person using the service.
People’s experience of using this service and what we found
The person living at Mrs Valerie Bullman - 18 Leafdown Close experienced positive care and support which promoted good outcomes for them. The person was supported by the provider who knew them well and their care was person-centred which had them at the heart of every decision made. The provider ensured the person led a full and varied life where they were supported to take part in activities they enjoyed, which included the provider taking them on days out and holidays.
The person lived in a domestic property which was homely. The home was kept clean and infection prevention control measures were in place to reduce the risks associated with COVID-19.
The person had a good caring relationship with the provider and was given the autonomy to live an independent life where they could make decisions and choices for themselves.
The person had their risks assessed, monitored and reviewed. The provider ensured they worked with other healthcare professionals which ensured the person received good and safe care. The person was administered their own medicines and we saw this was done safely.
The provider treated the person with dignity and respect and their preferences were understood. The person felt they were fully involved in their care and could speak up if they felt anything was wrong. The person was supported to have maximum choice and control of their lives and the provider supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.
Right support:
• Model of care and setting maximises people’s choice, control and independence.
Right care:
• Care is person-centred and promotes people’s dignity, privacy and human rights.
Right culture:
• Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.
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 19 February 2019).
Why we inspected
We undertook this inspection as part of a random selection of services rated good and outstanding to test the reliability of our new monitoring approach.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
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.