Cornview

Updated 13 December 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

The inspection took place on 30 October and 1 November 2018. The inspection was carried out by one inspector.

Before the inspection, we reviewed the information we held about the service. This included notifications about important events, which the service is required to send us by law. The registered manager completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection, we spoke with five relatives who were visiting the home, two staff and the registered manager. We used a range of different methods to help us understand the experiences of people using the service who were not always able to tell us about their experience. These included observations and pathway tracking. Pathway tracking is a process, which enables us to look in detail at the care received by an individual using the service. We pathway tracked the care and support for two people. We also looked at a range of records, including two care plans, two staff recruitment files and safety audits. After the inspection we also received written feedback from a further two relatives. This meant we received feedback from relatives for each person living at Cornview. We also received feedback from two healthcare professionals who worked regularly with the staff team.

Updated 13 December 2018

The inspection took place on 30 October and 1 November 2018 and was unannounced.

Cornview is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Care and support was provided for up to three people who have learning disabilities or autism. The primary aim at Cornview is to support people to lead a full and active life within their local community and continue with life-long learning and personal development. The home is a detached bungalow, within a residential area, which has been furnished to meet individual needs. At the time of the inspection there were three people living in the home. One person had their own en-suite bedroom which had been specially adapted to meet their needs. There were two other bathrooms located adjacent to other people’s bedrooms which they regarded to be theirs. There was a rear garden to which people had constant access.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At our last inspection in January 2016 we rated the service Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The provider had policies and procedures in place designed to protect people from abuse and staff had received safeguarding training. Risk assessments identified when people were at risk and action was taken to minimise the risks. People’s needs were met by suitable numbers of staff who knew people’s needs well. Medicines were stored safely and people received their medicines as prescribed.

People were supported by staff who had received relevant induction and training to enable them to support people they worked with. Staff supported people to eat and drink enough and to maintain a balanced diet. The environment met people’s needs. People had access to healthcare services when necessary. People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were supported by staff who cared about and valued them. People were supported to express their views and be involved in making daily decisions about their care and support. Staff spoke respectfully about people, were mindful of people’s rights to make choices and were aware of people’s need for privacy and dignity.

People were supported in ways which met their individual needs. People had support plans in place which covered many different aspects of their lives. People undertook a range of activities of their choosing. The provider had a complaints procedure in place.

The registered manager had a clear vision to run the home for the benefit of people living there. People, their relatives and staff were engaged and involved in how the home was run. The quality of care people received was continually assessed to ensure it was maintained. The service worked in partnership with other professional agencies.

Further information is in the detailed findings below.