Background to this inspection
Updated
7 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.
The inspection was unannounced and took place on 17 October 2018.The inspection was completed by one inspector.
We used information the provider sent us in the Provider Information Return (PIR) to plan the inspection. This is information we require providers to send us to give us some key information about the service, what the service does well and improvements they plan to make.
We looked at all the information we have collected about the service. This included the previous inspection report and notifications the registered manager had sent us. A notification is information about important events which the service is required to tell us about by law.
We looked at paperwork for the five people who live in the service. This included support plans, daily notes and other documentation, such as medication records. In addition, we looked at records related to the running of the service. These included a sample of health and safety, quality assurance, staff and training records.
We spoke with two people who live in the service and observed interactions between people and the care staff throughout the visit. We spoke with two staff members and a manager of the service. The registered manager was not available during the inspection process. We requested information from six professionals including the local safeguarding team. We received responses from three. We received comments from some relatives and one staff member.
Updated
7 November 2018
This was an unannounced inspection which took place on 17 October 2018.
Quality Care Providers Ltd. is a care home (without nursing) which is registered to provide a service for up to six people with learning disabilities. People may have associated difficulties such as behavioural issues and/or being on the autistic spectrum.
People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
Quality Care Providers Ltd. accommodates people in an adapted domestic sized building. The service was run 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 can lead as ordinary a life as any citizen.
At the last inspection, on 01 June 2016, the service was rated as good in all domains. This meant that the service was rated as overall good. At this inspection we found the evidence continued to support the rating of good and 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.
People continued to be protected from all forms of abuse. Staff knew what action to take if they had any concerns about people’s safety. The service identified general health and safety risks and any risk to individuals. All identified risks to staff and people were reduced as much as possible.
People continued to be supported by enough staff to keep them as safe as possible. Staff could meet people’s diverse and complex needs, safely. Recruitment systems made sure, that as far as possible, staff recruited were safe and suitable to work with people. People’s medicines continued to be given at the right times and in the correct amounts by trained and competent staff.
The staff team continued to be appropriately trained and were able to offer people effective care. They met people’s diverse needs including their current and changing health and emotional well-being needs. The service worked closely with health and other professionals to ensure they offered individuals the most effective care.
People were assisted to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.
The staff team remained caring and committed and continued to meet people’s needs with kindness and respect. They ensured they promoted people’s privacy and dignity and communicated with them effectively.
The service was person centred and responded to people’s diverse, individualised needs and aspirations. Activity programmes were designed to meet people’s individual preferences and choices. Care planning was regularly reviewed which ensured people’s current needs were met and their equality and diversity was respected.
The registered manager was experienced and respected. She and the management team ensured the service continued to be well-led. The registered manager and the staff team were committed to ensuring there was no discrimination relating to staff or people in the service. The quality of care the service provided was assessed, reviewed and improved, as necessary.