Banstead Road - Care Home

Updated 4 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 checked 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 11 September 2018 and was conducted by one inspector. It was a comprehensive, unannounced inspection.

We reviewed information received about the service, for example the statutory notifications the provider had sent us. A statutory notification is information about important events, which the provider is required to send to us by law. We also contacted the local authority commissioners to find out their views of the service provided. These are people who contract care and support services paid for by the local authority. They did not share any information of concern about the service.

Before the inspection visit, the provider completed a Provider Information Collection (PIC). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to This enabled us to ensure we were addressing potential areas of concern at our inspection. The PIC was very detailed and we were able to review the information in the PIC during our inspection visit. We found the information in the PIC was an accurate assessment of how the service operated.

During the inspection visit we spoke with two people who lived at the home and observed how care and support were delivered in the communal areas. We spoke with the registered manager and two care staff.

We reviewed two people's care plans and daily records to see how their care and treatment was planned and delivered. We looked at other records related to people's care and how the service operated, including medicine records and the provider's quality assurance audits.

Updated 4 December 2018

We last carried out a comprehensive inspection of Banstead Road care in February 2016 where we found the registered provider was rated ‘Good’ in each of the five key questions that we ask.

This inspection took place on 11 September 2018 and was unannounced.

Banstead Road 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.

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.

Banstead Road Care Home in Ewell is registered to provide accommodation and personal care for up to six adults who have a learning disability . At the time of our inspection five people live here. The service is delivered from a two-story house in a residential area.

It is a requirement of the provider's registration that they have a registered manager in post. 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 present during this inspection.

Banstead Road Care Home continues to provide an overall good level of care and support to people. The diligent work by the registered manager and his staff team had a very positive impact on how people were able to live their lives. As a result, the key question of ‘Is the service Responsive’ has been given an Outstanding rating.

The very responsive nature of the staff enabled people to take back control of their lives and experience activities that gave them a sense of purpose, self-worth and pride. People were supported by a dedicated staff team that went out of their way to enable them to take part in activities that had previously been unavailable to them. They found creative ways of supporting people to have an exceptional quality of life. They took time to understand people and their needs, then work with them to overcome barriers to their independence and life choices. People were supported at the end of their lives to complete goals and aspirations and live as full a life as possible.

People were supported to stay safe. Staff understood their responsibility in responding to any allegation of abuse to protect people, even if it involved senior people within the organisation. Risks to people’s health and safety were well managed, with a minimum impact to people’s independence. Peoples medicines were managed in a safe way, and they received them when needed. A new electronic system had been introduced to further improve the safety of how people’s medicines were managed.

There is a sufficient number of staff deployed to meet people’s needs. A robust recruitment and selection process is in place. This ensures prospective new staff have the right skills and are suitable to work with people living in the home.

Accidents and incidents were reviewed to minimise the risk of them happening again.

Staff were well supported by the registered manager to ensure they had the skill and training to meet people’s needs. People’s needs were assessed prior to them moving into the home to ensure they could be met by the staff and the home environment.

People were supported to have enough to eat and drink. People were encouraged to be involved in their diet and prepare meals and drinks themselves wherever possible. People had access to health care professionals when the need arose, as well as for routine check-ups to keep them healthy. Where people lacked the capacity to make specific decisions, the stuff understood and followed the requirements of the Mental Capacity Act 2005. This ensured that decisions made for people in their best interest and any restrictions put into place to keep them safe were done in a lawful way.

People were supported by kind and caring staff. People formed caring relationships with staff and enjoyed their company. People are very well supported to maintain relationships that are important to them. People are provided with the care, support and equipment they need to stay independent.

There was a robust complaints process in place, however this had not been needed as everyone we spoke with was happy with the service. People were confident that if they did raise a complaint it would be quickly dealt with.

The home and staff team continued to be well led. The ethos of continuous improvement was strong with the registered manager and his team. This was shown by the staff leading trials in new medicines management technology within Leonard Cheshire Disability, and the improvement of their rating from Good to Outstanding in the Responsive domain.