20 June 2022
During a routine inspection
About the service
Charlton House is a residential care home providing personal care for up to five people in one building. The service provides support to younger adults with learning disabilities or autistic spectrum disorder. At the time of our inspection there were two people using the service.
People’s experience of using this service and what we found
The service was not able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture.
Right culture:
The quality assurance system and processes had failed to identify and correct issues we found at the inspection. However, we found some positive aspects of culture as well. The manager and staff worked with other external professionals to ensure people were supported to meet their needs. The provider had a system to manage accidents and incidents. There was a management structure at the service and staff were aware of the roles of the management team. The manager and staff worked as a team and in partnership with a range of professionals and acted on their advice. Staff received support through training, supervision and staff meetings to ensure they could meet people’s needs. Staff told us they felt supported and could approach the manager at any time for support.
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. People’s care plans reflected their current needs. People were protected from the risk of infection. People were treated with dignity; their privacy was respected and they were supported to be as independent in their care as possible.
Right care:
People’s care records were in line with the Accessible Information Standard. People and their relatives were encouraged to participate in making decisions about their care and support. An assessment of people’s needs had been completed to ensure these could be met by staff. Staff showed an understanding of equality and diversity. Staff respected people’s choices and preferences. The manager knew what to do if someone required end of life 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 12/03/2021 and this is their first inspection.
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support right care right culture.
Enforcement and recommendations
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
We have identified a breach in relation to quality assurance 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 return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.