Background to this inspection
Updated
29 March 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection team consisted of one adult social care inspector and an assistant inspector.
Service and service type: This service is a care home. It provides accommodation and personal care to people living in the service on one site.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are 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: We reviewed information we had received about the service since the last inspection. The registered manager sent us a provider information return (PIR). This is a document completed by the registered manager which contains information on how the service is developing and any planned improvements. This included details about incidents the provider must notify us about, such as serious injuries. We sought feedback from the local authority and clinical commissioning group (CCG). We used all this information to plan our inspection.
During the inspection we met and spoke and Makaton signed (a type of sign language) with four people to ask about their experience of the care provided. We spoke with three members of staff including the registered manager. We received email feedback from one healthcare professional who was also a relative and we spoke with three relatives by telephone.
Following the inspection, the registered manager sent us their improvement plan, the training matrix and information we requested during the inspection. We received feedback from one other health care professional.
Updated
29 March 2019
About the service: Ventana Homes Limited is a care home and provides accommodation and support for up to eight adults diagnosed with a learning disability. At the time of the inspection seven people lived at the home.
The people we met had complex learning disabilities and were not able to tell us about their experiences of life at the home. We therefore used our observations of care and our discussions with relatives and staff to help form our judgements.
People’s experience of using this service:
The people received personalised care which met their needs. People's care plans contained personalised information which detailed how they wanted their care to be delivered.
Staff knew people well and expressed care and affection for them and worked hard to enable people to share their views and live active lives as independently as possible.
The home was registered for up to eight people before the Registering the Right Support guidance was implemented by CQC in 2017. However, the outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways; people's support was focused on them having as many opportunities and choices as possible.
People's relatives spoke highly of the service. The service had strong person-centred values and staff placed people at the heart of everything.
There was a stable core staff team that people knew well and achieved positive outcomes and strong relationships. People were very relaxed and happy in the company of staff and the registered manager.
Risks to people's health, safety and wellbeing were assessed and management plans were put in place to ensure these were reduced as much as possible.
People were supported to make choices and staff supported people in the least restrictive way as possible. Staff were aware of the legislation to protect people’s rights in making decisions.
Staff described how they supported people by treating them with respect and dignity. People participated in chosen activities and staff encouraged people to participate in things of interest to the them.
There was strong leadership at the service and relatives and staff spoke highly of the registered manager. There was a positive culture at the service where staff felt listened to and supported.
The registered manager had quality assurance systems in place to assess, monitor and improve the quality and safety of the service provided.
Rating at last inspection: At the last inspection the service was rated Good. (Report published 13 August 2016)
Why we inspected: This was a planned inspection based on the rating at the last inspection. The service remains good.
Follow up: Going forward we will continue to monitor this service and plan to inspect in line with our inspection schedule for those services rated as Good. We will continue to monitor the intelligence we receive about the service. If any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk