111 Rosebank Avenue

Updated 28 September 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 Care Act 2014.

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 carried out by one inspector.

Service and service type

111 Rosebank Avenue 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. 111 Rosebank Avenue is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post

Notice of inspection

This inspection was announced.

What we did before the inspection

We reviewed information we had received about the service since it was registered with the CQC. The provider completed a Provider Information Return (PIR). The PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. The PIR also provides data about the organisation and service. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke with four members of staff including the registered manager. We contacted relatives of people receiving care. We were not able to speak to people due to their needs, but we observed care to help us understand the experience of people who could not talk with us. We reviewed a range of records relating to care including support plans, Health Action Plans, communication passports, medicines records, training records, menu plans and risk assessments. A variety of records relating to the management of the service, including policies and procedures were also reviewed.

Updated 28 September 2022

Summary

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 Care Quality Commission (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

111 Rosebank Avenue provides accommodation and personal care and support for a maximum of four adults with a learning disability and autistic people. There were four people using the service at the time of the inspection.

People’s experience of using this service and what we found

Based on our review of safe and well-led the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right support:

We received positive feedback from people’s relatives, who told us people received person centred care. We also received feedback that assured us improvements had been made in some areas were concerns had been raised by some relatives. There was evidence of positive support, including choice, participation, and inclusion. People’s care plans set out individualised goals that had been discussed and agreed with them. People lived safely because the service assessed, monitored and managed their safety well.

Right care:

People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to people’s individual needs. They understood how to protect people from poor care and abuse. Staff had training on how to recognise and report abuse and they knew how to apply it. People’s preferred methods of communication were highlighted in their care plans. There were a range of communication formats, each personalised to the specific needs of the person.

Right culture:

People received good quality care, support and treatment because trained staff and specialists could meet their needs and wishes. Staff knew and understood people well and were responsive to their needs. We highlighted a shortfall relating to person centred care, which we saw the service was taking action to correct. The service enabled people and those important to them to work with staff to develop the service.

People lived safely because the service assessed, monitored and managed their safety well. Risks to people had been identified, assessed and reviewed. The assessments provided information about how to support people to ensure risks were reduced but did not limit people’s right to take reasonable risks.

The service had enough staff. Pre-employment checks had been carried out. These checks helped to ensure only suitable applicants were offered work with people.

People received their medicines safely. They were supported by staff who followed systems and processes to administer, record and store medicines safely. We observed from records people received their medicines on time.

People were protected from the risks associated with poor infection control because the service used effective infection, prevention and control measures to keep people, staff and visitors were safe.

People's health needs were met. Staff from different disciplines worked together to make sure people had effective personalised care. The care files we looked at included details of health action plans and management of day to day healthcare needs.

There was a process in place to report, monitor and learn from accidents and incidents.

Governance processes were effective and helped to assess, monitor and check the quality of the service provided to people. Audits had been carried out on a range of areas critical to the delivery of care.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 1 July 2020 and this is the first inspection.

Why we inspected

This was a planned inspection based on our timelines for inspecting newly registered services.

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 111 Rosebank Avenue on our website at www.cqc.org.uk.

We have made a recommendation about improving existing arrangements for involving families to ensure care is always personalised.

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.