Archived: 64 Charlton Lane

Updated 3 March 2020

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

64 Charlton Lane service provides care and support to people living in a ‘supported living’ setting, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

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.

What we did before the inspection

Before the inspection, we reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about. We sought feedback from the local authority who commissioned the service and health and social care professionals . We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with two people to gather their views about the service. We spoke with four members of staff including the registered manager, assistant manager and two care workers. We reviewed a range of records. This included five people’s care and support plans, risk assessments and medicines records. Two staff files including recruitment, training and supervision records. We also reviewed a range of records used in managing the service including accident and incidents, staff rotas, training matrix, menu plan, audits and surveys.

Updated 3 March 2020

About the service

64 Charlton Lane provides personal care and support for five adults living with learning disabilities and autistic spectrum disorder. At the time of this inspection, five people were using the service.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

People were complimentary about the service and told us they were happy. People were supported by staff who treated them with kindness, compassion and respect. People’s privacy and dignity was respected, and their independence promoted. The service used innovative and modern technology to support and promote people’s communication and independence. People’s communication needs had been assessed and information was presented in formats that met their needs. People were encouraged to be active members of their local community, participate in activities that were of interest to them and build relationships with those that mattered to them to prevent social isolation. People knew how to make a complaint if they were unhappy but told us they had nothing to complain about.

People were protected from the risk of abuse, and staff knew of their responsibility to protect people in their care from abuse or neglect. Risk to people had been identified, assessed and had appropriate risk management plans in place to ensure people were protected from the risk of avoidable harm. Accidents and incidents were reported and recorded, and any lessons learnt were used to improve the quality of the service. People were supported with their medicines safely and staff followed appropriate infection procedures to prevent the spread of diseases.

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. People’s needs were assessed, and care and support planed and delivered to meet individual needs. People were supported to eat healthy amounts for wellbeing and supported to access healthcare services where required. The service worked in partnership with health and social care professionals to ensure individual needs were met. Staff were supported through training and supervision to ensure they understood individual needs and had the knowledge and skills to support them.

The service was well led, the management team demonstrated a commitment to provide high quality care which was person-centred and promoted people’s independence. There were effective systems in place to assess and monitor the quality of the service and to drive improvements. People and their relative’s views were gathered to improve on the service and staff knew of their individual responsibilities, they told us they felt supported in their role and were happy working at the service.

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 11 September 2017).

Why we inspected

This was a planned inspection based on the previous rating.

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.