10 March 2020
During a routine inspection
Neave Crescent is a residential care home that provides personal care for up to ten people with learning and physical disabilities. At the time of the inspection there were seven people living at the service receiving care.
The service comprised of two adjoining purpose-built bungalows. The service is larger than recommended by best practice guidance. However, we have rated this service good because the provider arranged the service in a way that ensured people received person-centred care and were supported to maximise their independence, choice, control and involvement in the community. The size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.
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 service applied the principles and values Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
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.
Staff were trained in safeguarding and knew what to do if they suspected abuse. People were risk assessed to monitor and mitigate risks to them. Regular health and safety checks were completed to ensure the property was safe for people. Relatives told us and records confirmed there were enough staff working. Staff were recruited safely. Medicines were safely managed. Staff understood infection control and relatives told us the service was clean. Incident and accidents were recorded, and lessons learned when things went wrong.
People’s needs were assessed to ensure the service could meet their needs. Staff received inductions to ready them in their new roles. Staff were trained to do their jobs and were supervised by the management team at the service. People were supported with their nutrition and hydration and the service followed instructions from dieticians where required. Staff communicated with other agencies to support people. People were supported with their health care needs. People were able to decorate their rooms how they pleased. 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 were treated well by staff and the service had received numerous compliments. Staff were trained in equality and diversity and the service supported people’s human rights. People and their relatives were involved in decisions about their care. People’s independence was promoted and their dignity and privacy respected.
People’s care plans recorded their needs and preferences, and these were reviewed regularly. Staff knew how to communicate with people. People were supported to take part in activities they enjoyed including going on holiday. Relatives knew how to make complaints and when this happened the registered manager responded appropriately. People’s end of life wishes were recorded.
People, relatives and staff thought the service was well managed. Staff knew their roles and responsibilities. The registered manager was supported in their role. People, relatives and staff were engaged and involved in the service and staff had received positive feedback from stakeholders. The service worked in partnership with other agencies. Quality assurance processes at service ensured people received a good standard of care and the service sought to improve where shortfalls were found.
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 20 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.