Background to this inspection
Updated
19 May 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
This inspection was carried out by one inspector.
Service and service type
Brett Vale is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
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 a short period notice of the inspection in order to not cause distress to anyone living at the service.
What we did before inspection
We reviewed information we had received about the service since registration. We sought feedback from the local authority and professionals who work with the service. 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. This information helps support our inspections.
We used all this information to plan our inspection.
During the inspection
We spoke with five people who used the service and five relatives about their experience of the care provided. We had contact with nine members of staff including the registered manager, deputy manager and care staff.
We reviewed a range of records. This included one person’s care records and electronic medication records. We looked at one staff file in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two professionals who regularly visit the service.
Updated
19 May 2022
About the service
Brett Vale is a residential home without nursing. It provides personal care to up to 10 adults who have a learning disability or who are autistic. At the time of the inspection there were 9 people living in the home. The accommodation was in a rural setting with extensive grounds. Each person had their own room with an en suite and they shared large communal facilities if they chose to access and use these.
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.
People’s relatives felt their family members were safe and well cared for living at Brett Vale. Relatives described people being supported to live their own lives with as much independence as possible. The service had a good understanding of the risks people faced in their day to day lives and the ways they could support them to minimise those risks whilst maximising choice and individuality. This enabled people to achieve positive outcomes and promoted a good quality of life.
People were supported by sufficient numbers of well-trained staff who knew them, and their support needs well. People were supported to follow and engage with their own interests and aspirations.
People’s medicines were managed safely. Effective infection control measures were in place to protect people.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
The registered manager was respected by the staff and promoted an open and transparent culture. The registered manager and staff understood their roles and responsibilities to provide a service to people that respected their individuality.
People's needs were assessed by a multi-disciplinary team of health and social care professionals. Care plans were developed using person centred language and detailed individual needs, preferences and methods of communication.
For more details, please see the full report which is on the 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.
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