Archived: Care Management Group - 23 Pierrepoint Road

Updated 25 December 2020

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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

We received information of concern about infection control and prevention measures at this service. We carried out a targeted inspection to look at the infection control and prevention measures the provider has in place. This was then expanded to a focused inspection to look at the key questions of safe and well-led.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Care Management Group - 23 Pierrepoint 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 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 on both days.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We also sought feedback from the local authority who works with the service. We used all of this information to plan our inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. We took this into account in making our judgements in this report.

During the inspection

We spoke with two people who used the service about their experience of the care provided. We spoke with five members of staff including the registered manager, deputy manager, senior support worker and two support workers. A variety of records relating to the management of the service, including audits were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 25 December 2020

About the service

23 Pierrepoint Road is a residential care home providing care and support for up to 11 people who have a learning disability and may also have other health conditions, autism, mental health needs or physical disabilities. At the time of our inspection nine people were living at the service. The service was managed by the Care Management Group (CMG) Limited, a national organisation providing care and support to adults and children with disabilities in England and South Wales. The service is in the process of being registered under a new provider called Regard Achieve Together.

23 Pierrepoint Road is located in a residential area, similar in appearance to the other houses in the street.

People’s experience of using this service and what we found

During this inspection we were not always assured about the provider’s infection control practices. On the first day of our inspection, we found personal protective equipment (PPE) procedures were not always followed and there was poor signage around infection control. We also found cleaning was not completed to appropriate standards and audits were not effective. When we returned to complete the focused inspection, we found PPE, signs and audits had improved but some improvement was still required with the standard of cleaning.

We have made a recommendation to the provider about the monitoring of infection control practices.

The provider had systems in place to safeguard people from the risk of abuse. Medicines were managed safely. Safe recruitment procedures were in place and there were enough staff to meet people’s needs.

Care plans were personalised and recorded people’s preferences so staff knew how to respond to people’s needs effectively.

The provider had systems in place to monitor, manage and improve service delivery and to improve the care and support provided to people.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the guidance CQC follows to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture by promoting choice and control, independence and inclusion.

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 (published 13 November 2019).

Why we inspected

We undertook this targeted inspection to follow up on specific concerns which we had received about the service. The inspection was prompted in part due to concerns received about infection control. A decision was made for us to inspect and examine those risks.

We inspected and found there was a concern with infection control. After going through our quality assurance checks, we widened the scope of the inspection on a second day to become a focused inspection which included the key questions of safe and well-led.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion, were used in calculating the overall rating at this inspection. The overall rating for the service has not changed, but we have changed the rating of the safe key question from good to requires improvement. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Care Management Group- 23 Pierrepoint Road on our website at www.cqc.org.uk.

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.