Cathedral View

Updated 17 October 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.

This was a comprehensive inspection, carried out by one inspector. The inspection took place on 28 September 2018 and was unannounced.

Prior to the inspection we looked at the information we had about the service. This information included the statutory notifications that the provider had sent to the Care Quality Commission (CQC). A notification is information about important events which the service is required to send us by law. We reviewed the Provider Information Record (PIR). This is a form that asks the provider to give some key information about the service, tells us what the service does well and the improvements they plan to make.

During our inspection we met and spoke with three people staying at Cathedral View. We spoke with the assistant manager and four members of staff. We contacted two health care professionals for feedback. We looked at the care records for three people, including their medicine records. We looked at recruitment records for two members of staff, training records and quality assurance systems. We have referred to feedback from people, staff and their relatives given to the provider as part of their quality assurance systems.

Updated 17 October 2018

Cathedral View is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Cathedral View can accommodate up to nine people for short periods of care and support, who have a learning disability, autistic spectrum condition and a physical disability. At the time of our inspection four people were staying there. People had their own bedrooms and shared bathrooms and a shower room. They had the use of a lounge, various areas around the home to sit and watch television, a sensory room and dining facilities. Grounds around the property were accessible.

Cathedral View had been developed and designed in line with the values that underpin the Registering the Right Support, Building 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 lived as ordinary a life as any citizen.

This inspection took place on 28 September 2018. At the last comprehensive inspection in October 2016 the service was rated as Good overall. 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 on-going 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.

At this inspection we found the service remained Good.

A registered manager was in post who had been registered with the Care Quality Commission (CQC) in January 2017. 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. The registered manager was not present during this inspection. The assistant manager was available.

People’s care and support was individualised reflecting their needs and wishes. Prior to each stay they and their family were contacted to make sure their needs had not changed. Any changes were noted in their care records and shared with the staff team. People were supported by staff who knew them well. They had developed positive relationships with staff. Staff anticipated what would make people anxious or uncertain and supported them to cope with these. Risks were well managed promoting people’s independence. Staff knew how to keep people safe and how to raise safeguarding concerns. There were enough staff to meet people’s needs. This was kept under review as their needs changed.

People made choices about their day to day lives. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People were involved in the planning and review of their care and support. People’s diversity was recognised and people were treated with fairness, dignity and respect. Activities reflected their interests and lifestyle choices. People said they liked to go to the cinema, garden centres and day trips. They kept in touch with those important to them.

People’s health and wellbeing were promoted. They helped to plan the menu and they prepared their own drinks and lunches. They liked to go out to a local café and pub. People were registered with a local GP and had access to a range of health care professionals. People’s medicines were safely managed. People had access to easy to read information which used pictures and photographs to explain the text. Staff understood how they preferred to communicate encouraging them to express themselves in the way they found most comfortable.

People had information about how to raise a complaint. At the end of their stay their views were sought to monitor the quality of the service provided. Their relatives were invited to give feedback as part of the quality assurance process. The registered manager and provider completed a range of quality assurance audits to monitor and assess people’s experience of the service. Any actions identified for improvement were monitored to ensure they had been carried out.

The registered manager worked closely with local organisations and agencies and national organisations to keep up to date with current best practice and guidance. They made sure a safe environment was maintained and ensured compliance with national safety regulations. Lessons were learnt from incidents and near misses to improve the quality of care.

Further information is in the detailed findings below.