Archived: Care Management Group - 18 Hawthorn Crescent

Updated 12 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 was undertaken by one inspector.

Service and service type:

• Care Management Group – 18 Hawthorn Crescent is registered to support 4 people with learning disabilities and Autism. At the time of our inspection there were 4 younger adults living in an adapted bungalow within a residential street.

• The service had a manager who was registered with the Care Quality Commission. A registered manager 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:

• The inspection was announced. We gave the provider 24 hours’ notice as we wanted to ensure that people using the service were available to speak with us.

What we did:

• Before the inspection we used information, the provider sent us in the Provider Information Return (PIR). Providers are required to send us key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

• We looked at information we held about the service including notifications they had made to us about important events.

During the inspection:

• We spoke with all four people, one relative and five members of staff. The registered manager was not at the service at the time of the inspection.

• We reviewed a range of records about people’s care and how the service was managed. These included the individual care records and medicine administration records for three people, three staff records, quality assurance audits, incident reports and records relating to the management of the service.

• We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

Updated 12 March 2019

About the service:

• Care Management Group – 18 Hawthorn Crescent is situated in Worthing, West Sussex. The provider, Care Management Group, own services across England and Wales. The service is registered to support 4 people with learning disabilities and Autism. At the time of our inspection there were 4 younger adults living in an adapted bungalow within a residential street. The building design was the same as other homes within the residential area. There were deliberately no identifying signs such as cameras or intercoms that would indicate that it was a care home. Staff did not wear uniforms or anything that suggested that they were care staff when coming and going whilst supporting people. This complied with current best practice guidance. For more details, please see the full report which is on the CQC website at www.cqc.org.uk

People’s experience of using this service:

• The outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways: promotion of 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.

• Sufficient staff ensured that people’s needs were met.

• People were supported to remain safe.

• Infection prevention and control were maintained.

• People were supported to maintain their health. They had access to medicines when they needed them and could access external healthcare professionals.

• Staff had the right skills and experience to meet people’s needs.

• People were actively involved in their care. Their wishes and preferences identified and respected.

• Staff were responsive to people’s needs and care was adapted to ensure people were at the centre of any decisions made.

• People told us that staff were kind, caring and compassionate.

• People were treated with respect. Their privacy and dignity was maintained.

• A person-centred culture was created by the provider and shared by all staff.

• People were supported and encouraged to develop their skills and maintain their independence.

• People chose, shopped and helped prepare food.

• 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.

• Quality assurance processes ensured that the service was effective and people’s needs were met.

• One person told us, "They are very helpful. They do a lot for me. They are good and friendly and I have got a good relationship with staff."

• More information can be found within the full report.

Rating at last inspection:

• At the last inspection the service was rated as Good. (Published on 5 April 2016). At this inspection on 12 February 2019, the overall rating for the service has remained Good.

Why we inspected:

• This was a planned inspection to confirm that the service remained Good.

Follow up:

We will continue to monitor the intelligence we receive about this service and plan to inspect in line with our re-inspection schedule for those services rated as Good.