19 September 2023
During an inspection looking at part of the service
About the service
Lansdowne Road (67-71) is a residential care home providing personal care for up to 26 people with a learning disability and or autism. At the time of the inspection, 25 people were living the service.
People's experience of using this service and what we found
Right Support: People’s support plan and risk assessment guidance provided to staff of actions required to manage and mitigate known risks, were not consistently followed by staff. Guidance for staff was also limited in places, however, action was being taken to make improvements and was ongoing.
Incident management procedures such as de-brief meetings and incident analysis to support learning opportunities needed to improve. Physical intervention was used as a last resort, whilst staff had recently received enhanced training, they were not sufficiently confident. Further training and support were required.
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 did not support this practice.
Cleaning of the environment needed improving in some areas, to ensure effective infection prevention and control measures.
Right Care: The service had enough staff deployed to meet people’s individual needs and keep them safe. Staff had been recruited safely.
People, relatives, and external professionals provided positive feedback on the staff’s approach to care and support.
People were supported to lead active and fulfilling lives, there was a person centred approach, independence was promoted, and staff supported people effectively to achieve positive outcomes.
Right Culture: The provider’s systems and processes to monitor quality and safety were found to be ineffective. A recent internal action plan had been developed to address the required improvements identified by a local authority visit. Whilst this advised overall actions had been completed and signed off, we identified continued shortfalls.
Staff had received training for working with autistic people and people who have a learning disability. Staff meetings and supervisions were held and provided an opportunity to raise concerns and ask questions. Staff were positive about working at the service.
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 rated inspection for this service was good (published 4 March 2018).
Why we inspected
We received concerns in relation to the management of medicines and people’s care and support needs. As a result, we undertook a focused inspection to review the key questions of Safe and Well-led only.
The overall rating for the service has changed from good to requires improvement based on the findings of 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.
The registered manager took some immediate actions to mitigate risks.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ Lansdowne Road (67-71) link on our website at www.cqc.org.uk.
Enforcement
We have identified a breach in relation to governance procedures at the service. Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.