Background to this inspection
Updated
15 November 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 Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
This inspection was carried out by three inspectors.
Service and service type
Elysium Care Partnerships Limited - 78 Park Road is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Elysium Care Partnerships Limited - 78 Park Road is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to speak with us.
Inspection activity started on 10 October 2022 and ended on 15 October 2022. We visited the location’s service on 10 October 2022.
What we did before the inspection
We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We reviewed information we held about the provider such as statutory notifications they are required to submit to us. We used all this information to plan our inspection.
During the inspection
We spoke with the registered manager, the deputy manager and four care workers.
We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We reviewed three people’s care and medicines administration records. We reviewed a relation of documents in relation to the management of the service such as policies, incident and accident records and quality assurance checks. Following the inspection we received feedback from four relatives and healthcare professionals.
Updated
15 November 2022
About the service
Elysium Care Partnerships Limited - 78 Park Road is a residential care home providing personal care to up to seven people. The service provides support to younger people with a learning disability in one adapted building. At the time of our inspection the home was at full capacity.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
Right Support: People were kept safe from avoidable harm because staff knew them well and understood how to protect them from abuse. The service had enough staff, including for one-to-one support for people to take part in activities and visits. The service ensured people’s behaviour was not controlled by excessive and inappropriate use of medicines. Staff understood and implemented the principles of STOMP (stopping over-medication of people with a learning disability, autism or both) and ensured that people’s medicines were reviewed by prescribers in line with these principles. People received support to eat and drink enough to maintain a balanced diet.
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.
Right Care: Staff assessed people’s sensory needs and did their best to meet them. People were supported by staff who had received relevant and good quality training in evidence-based practice. This included training in the wide range of strengths and impairments people with a learning disability and or autistic people may have, mental health needs, communication tools, positive behaviour support, trauma-informed care, human rights and all restrictive interventions. Multi- disciplinary team professionals were involved in and made aware of support plans to improve as person’s care. Staff were calm, focussed and attentive to people’s emotions and support needs such as sensory sensitivities. Staff provided people with personalised, proactive and co-ordinated support in line with their communication plans, sensory assessment and support plans. Staff provided person-centred support with self-care and everyday living skills to people.
Right Culture: Management were visible in the service, approachable and took a genuine interest in what people, staff, family, advocates and other professionals had to say. Management and staff put people’s needs and wishes at the heart of everything they did. The registered manager had the skills, knowledge and experience to perform their role and a clear understanding of people’s needs/ oversight of the services they managed. The provider sought feedback from people and those important to them and used the feedback to develop the service. The service worked well in partnership with advocacy organisations and other health and social care organisations, which helped to give people using the service a voice and improve their wellbeing.
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 the service under the previous provider was outstanding, published on 05 February 2019.
Why we inspected
We undertook this inspection as part of a random selection of services rated Good and Outstanding.
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.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Elysium Care Partnership – 78 Park Road on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.