Background to this inspection
Updated
31 March 2023
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
The inspection was conducted by 2 inspectors.
Service and service type
Elysium Care Partnerships - 1 Lichfield Lane is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. Elysium Care Partnerships - 1 Lichfield Lane 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
This inspection was unannounced.
What we did before the inspection
We looked at all the information we held about the provider. This included notifications of significant events. 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.
During the inspection
We met people who lived at the service and staff in the registered manager, deputy manager, team leaders and support workers. We observed how people were being cared for and supported. We telephoned and spoke with the relatives of 7 people and 5 members of staff following our visit.
We looked at the care records for 3 people, how medicines were managed and other records used by the provider for managing the service which included audits and meeting minutes.
Updated
31 March 2023
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.
About the service
Elysium Care Partnerships Limited - 1 Lichfield Lane is a care home for up to 8 adults with learning disabilities and autistic people. The service is managed by Elysium Care Partnerships Limited, a national provider of health and social care services. At the time of our inspection 8 people were living at the service.
People’s experience of using this service and what we found
The service was not able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture.
Right Support: People's medicines were not always managed in a safe way. Systems for monitoring this had not always been implemented effectively. Decisions were made in people's best interests, but there were not always recorded assessments or agreements for some restrictions. The environment was clean, but improvements were needed to make sure it was always stimulating and interactive to meet people’s needs. Staff supported people to make choices and be independent where possible. People were supported to pursue their interests. Staff enabled people to access specialist health and social care support in the community. Staff supported people to play an active role in maintaining their own health and wellbeing.
Right Care: Staff knew people well and were able to provide support which met their cultural needs and reflected their interests. People received kind, compassionate care. Staff respected people's privacy and dignity. They understood and responded to their individual needs. Staff understood how to protect people from poor care and abuse. The service had enough skilled staff to meet people's needs and keep them safe. People could communicate with staff and who understood their individual ways of communicating. Interactions were positive and supportive. People were enabled to make choices and try a range of different activities to reflect their interests and help them develop skills. Staff supported people to take risks and provided care in the least restrictive way.
Right culture: People received good quality care and support and their views were considered when planning care to make sure they felt safe, comfortable and happy. Staff were trained and worked with others to provide personalised care. Staff felt well supported and able to speak up when things went wrong. Staff understood about best practice and had clear direction and guidance from managers.
For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support right care right culture.
Enforcement and Recommendations
We have identified breaches in relation to safe care and treatment at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.