SummerView

Updated 8 January 2021

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.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

There was two inspectors in the team, one attended on each day.

Service and service type

Summerview 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.

Notice of inspection

This inspection was announced on the first day and unannounced on the second day.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought information from the local authority. We used the information the provider sent us in the provider information return. 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. This information helps support our inspections. We used all of this information to plan our inspection

During the inspection-

We observed people who used the service and spoke with two people about their experience. We spoke with four members of staff including the registered manager, deputy manager and two care workers.

We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at one staff file in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data, policies, audits and feedback from relatives.

Updated 8 January 2021

About the service

Summerview cares for up to six people with learning difficulties and at the time of inspection six people were using the service.

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

We found infection prevention control processes at the service needed to improve to mitigate risk of infection. Guidance on the use of PPE and infection control procedures needed to be implemented.

Governance and oversight of the service needed to be more robust to address issues promptly.

Staff were trained in safeguarding and knew how to raise any concerns. The provider had policies and procedures in place for staff to follow.

People’s care needs were attended to by staff who knew them well and how they liked to be supported. There were enough staff on duty and the provider had appropriate recruitment processes in place.

There were processes in place to learn lessons when things go wrong to encourage learning and improve care.

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. People received person centred care that was inclusive and promoted their independence and choices. Staff empowered people to make choices over their lives and supported them to attain their goals.

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 (9 October 2018).

Why we inspected

We inspected to check Infection Prevention Control procedures following an outbreak of COVID 19. Due to issues identified, we undertook a focused inspection to review the key questions of safe and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from Good to Requires Improvement. This is based on the findings at this inspection.

We have found evidence that the provider needs to make improvements. Please see the Safe and Well Led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

The provider has taken steps to address the areas of concern identified.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.