We carried out a review of the data available to us about Pelham Road on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Pelham Road, you can give feedback on this service.
Pelham Road is registered to provide personal care to people in their own homes. At the time of the inspection they provided a supported living service to six people, living with a learning disability, who lived together in a shared house. People shared a kitchen, lounge and garden. Supported living is where people live in their own home and receive care and support in order to promote their independence.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
People continued to be supported to stay safe and told us they felt safe with the staff who supported them in their home. Staff understood how to report and safety concerns and knew how to minimise risks to people’s health and welfare. People continued to be supported by enough staff who had been safely recruited and were trained and knowledgeable about people’s needs. People continued to have their medicines safely and on time. People were supported to keep their home clean and tidy by staff who understood how to protect people from the risks of infection.
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. Their needs and choices were assessed, and they were supported to access health care professionals when needed. People told us staff attended medical appointments with them and explained things to them in a way they could understand.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
People told us staff were very kind and they all got on like a family. Staff showed genuine concern for people’s welfare and were compassionate. People said they made decisions about their care and support and that staff helped them when they needed it. Staff had time to spend with people supporting them to do the things they wanted to do. People’s independence continued to be promoted and their independent living skills were developed. Staff respected people’s privacy. Records were stored securely to protect people’s confidentiality.
People continued to be involved in the planning, management and reviewing of their support. Each person had a care and support plan, written with them, which reflected their physical, mental health, social and emotional needs. People spent much of their day out in the local community doing the things they wanted and with people whose company they enjoyed. They were supported to develop and maintain relationships with those who mattered to them. People told us they did not have any complaints but would speak to the registered manager or staff if they were not happy about something.
The registered manager set high standards and led by example. The staff team felt supported by the registered manager and the organisation. Staff promoted a culture of inclusiveness and people were valued for their individuality. Effective checks and audits were completed to make sure people received a good quality of support. Staff worked with people’s health care professionals to ensure care was joined-up.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (Report published 23 February 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Pelham Road is registered to provide personal care to people in their own homes. At the time of the inspection they were providing a supported living service to five people who lived together in a shared house. Supported living is where people live in their own home and receive care and/or support in order to promote their independence.
The service has a registered manager. 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 and associated Regulations about how the service is run.
People received a safe service. Systems were in place to minimise risk and to ensure that people were supported as safely as possible. Staff were aware of their responsibilities to ensure people were safe and what to do if they had any concerns. They were confident that the registered manager would address any concerns.
People were treated with respect and their privacy and dignity was maintained. They were supported by a small, caring and consistent staff team who knew them well. One person told us, “The staff are nice to me.”
Systems were in place to ensure that people received their prescribed medicines safely. Medicines were administered by staff who were trained and assessed as being competent to do this.
Staff received the support and training they needed to give them the necessary skills and knowledge to meet people’s assessed needs, preferences and choices and to provide an effective and responsive service.
People were protected by the provider’s recruitment process which ensured that staff were suitable to work with people who need support.
People were encouraged to develop their skills and to be as independent as possible. They were supported to carry out daily living activities such as shopping, cooking, cleaning and laundry.
People were actively involved in developing their care plans and in agreeing how they should be supported. Care records contained detailed information about people’s needs, wishes, likes, dislikes and preferences.
The registered manager and the provider monitored the quality of service provided to ensure that people received a safe and effective service that met their needs.
Staffing levels were sufficient to meet people’s needs and to enable them to do be supported in a way that they wished.
People were encouraged to make choices and to have as much control as possible over what they did and how they were supported. Systems were in place to ensure that their human rights were protected.
Staff felt the registered manager was approachable and supportive and gave them clear guidance.
We spoke with two care workers who told us the information recorded in peoples care plans helped them to provide support for people on an individual basis. Two care staff told us they had been provided with appropriate training and had undertaken safeguarding training within the last twelve months; these people told us how they would recognise different types of abuse and what their duties and responsibilities were with regards to safeguarding vulnerable adults.
The people who used the service told us they felt safe in the house as staff were always on hand to provide guidance and support. The three people we spoke with expressed a clear understanding of safeguarding procedures in the house, for example, they told us they knew to ask all visitors to show ID before entering the house, and to ask visitors to sign the visitor's log for house records.
The people we spoke with told us staff regularly helped them with personal care and supported them to participate in group visits and activities.
The people who used the service told us they felt safe in the house as staff were always o hand to provide guidance and support. Four people we spoke with expressed a clear understanding of safeguarding procedures in the house, for example, they told us they knew to ask all visitors to show ID before entering the house and to then ask visitors to sign the visitor's log for house records.
The registered manager evidenced the provider had clearly addressed the improvement action identified in the last inspection.