About the service 23 Perryn Road is a residential care home providing care and support for up to eight people with a learning disability. At the time of our inspection eight people were living at the service. Some people also had complex needs including needs associated with mental health.
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 experience of using this service and what we found
People were treated with dignity and respect and supported by staff who were caring.
A professional said they had seen staff “providing really good, respectful person centred support.”
Relatives said people’s care needs were met. Their care plans were developed with them and set out their likes, preferences and communication needs. People were supported with their medicines safely and to access healthcare.
Staff received induction, training and supervision and felt supported in their roles. There were appropriate staff recruitment processes in place to ensure the provider only employed fit and proper people.
There were systems in place to monitor the quality of the service and identify when improvements were required. People, their relatives and staff were asked to give feedback about the service. Relatives felt involved in people’s care. They knew how to raise concerns and felt they would be listened to if they did.
There were procedures in place for preventing and controlling the spread of infection.
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.
We have made a recommendation about maintaining records so there were always complete and accurate records of people’s care.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right support
Staff supported people to have choice and control over their daily living and encouraged them to be independent. People’s care plans promoted their independence and set out goals that were meaningful for them. Staff supported people to achieve these. Staff supported people to take part in activities and access their local area safely. People were involved in making decisions about their home environment and were able to personalise their rooms.
Right care
People who had individual ways of communicating, including using body language, sounds and pictures could interact comfortably with staff because staff had the necessary skills and experience to understand them. Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.
Right culture
Staff turnover was low, which supported people to receive consistent care from staff who knew them well and with whom they could develop trusting relationships. People received good care and support because trained staff knew how to meet their needs and wishes. People and those important to them, including advocates, were involved in planning and reviewing their care. The provider evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate.
The service enabled people and those important to them to be involved in the service.
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 December 2020 under a new provider and this is their first inspection. The last rating for the service under the previous provider was good published 10 February 2020.
Why we inspected
This was a planned inspection based on the date of registration. 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 using our intelligence models and we will return to visit when indicated. If we receive any concerning information we may inspect sooner.