Archived: 16 Kings Road

16 Kings Road is a residential care home providing personal care to up to 6 people. The service provides support to autistic people and younger adults who may have a learning disability, sensory impairment, or a mental health condition. At the time of our inspection there were 6 people using the service.

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.

Based on our review of key questions safe, effective, caring, responsive, and well-led, the provider was unable to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.

Right Care: People were at risk of harm because medicines were not always managed safely. Staff were not always recruited safely and did not always have the correct training. People's support plans reflected their range of needs, and this promoted their wellbeing and enjoyment of life. People took part in activities and pursued interests that were tailored to them, however, the lack of drivers at the service meant people were not always supported to access their local amenities as often as they would like. People had privacy for themselves and their visitors in their bedrooms.

Right Support: 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. Some staffs understanding of the Mental Capacity Act was limited, we made a recommendation about this.

Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensured people using the service led confident, inclusive, and empowered lives. Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect, and inclusivity.

Quality assurance systems did not always identify concerns we found on inspection.

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

Rating at last inspection and update

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

The last rating for the service under the previous provider was good, published on 1 November 2018.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

Enforcement and Recommendations

Staff did not always understand the MCA, we made a recommendation about this.

We have identified breaches in relation to safe care and treatment, recruitment, and staff training 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 continue to monitor information we receive about the service, which will help inform when we next inspect.