Background to this inspection
Updated
20 November 2021
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 undertaken by one inspector.
Service and service type
Nirvana 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 the registered manager and provider is legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. 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 one relative about their experience of the care provided. We spoke with four members of staff including the registered manager, assistant manager and care workers. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records. This included care records and medication records. We looked at two staff files 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.
Updated
20 November 2021
About the service
Nirvana is a residential care home providing personal care to one person with a learning disability and autism at the time of the inspection.
People’s experience of using this service and what we found
The provider and registered manager had a governance system in place, which included various audits and monitoring, however actions were not always documented, and it was unclear if actions were completed.
Staff provided care that was safe, and risks were managed appropriately. This was because staff were well-trained, and systems were in place to report concerns. There was a consistent staff team, who had been safely recruited.
Medicines were well managed, and staff received training to help ensure they were sufficiently skilled. Systems were in place to report and respond to accidents and incidents.
The person was 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.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. The person was able to have choice and control of their day to day decisions. This included shaping a staff team and support network around them that they felt safe in. Staff spoke in a respectful and kind way.
The management team were dedicated to ensuring staff demonstrated values in line with Right support, right care and right culture, and ensured the person felt empowered to live their lives how they wanted. The provider was constantly looking at ways to develop their knowledge which meant the person was being supported in the best way possible. This was through reviewing the persons care, enhancing staff knowledge and training and listening to the person and their families.
Staff felt supported and the management team were always available. The registered manager had a good understanding of their responsibilities towards the person they supported and had passion in delivering person-centred 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 13 August 2020 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date the service was registered.
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.
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.