Ten Acre Respite Service

Updated 7 January 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.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Ten Acre Respite Centre is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. This included notifications sent to us by the home. Notifications are changes, events or incidents that the provider is legally obliged to send to us without delay. 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 spoke with the relatives of two people who use the service, two staff members, the registered manager and two members of the senior management team.

We reviewed a range of records. This included four care records, medication records, three staff recruitment files and a variety of records relating to the management of the service, including policies and procedures, health and safety records, training records, meeting minutes and audits.

Updated 7 January 2020

About the service

Ten Acre Respite Service is a care home providing personal care to people with a learning disability. Care is provided on a respite basis, meaning people spend short stays there, such as when their main family carers are on holiday. It is a five bedroomed bungalow in a residential suburb of Rotherham, South Yorkshire.

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’s relatives said they believed their relatives were very safe and cared for in the home. Staff were knowledgeable about safeguarding people and when to raise concerns. Records showed staff had acted as required when concerns had arisen. People received their medicines safely and recruitment practices were safe.

Relatives told us staff were responsive to people’s needs. One relative said: “They are good with [my relative] they understand [their] needs, and know how to provide care.” Another said: “I have no worries regarding the care. I call in at any time of day and night and I can see what they [the staff] are doing.”

Staff we spoke with told us dignity and respect was important in the way they cared for people. One staff member said: “It’s important that when they come here it feels like a hotel for them, and we’re here to make it a relaxing stay.” The registered manager confirmed the service was designed in a very person-centred way, showing us examples of how people’s preferences and choices influenced how care was delivered.

The home was managed by a registered manager who people told us was accessible and approachable. One visiting relative said: “[The registered manager] is always available, when you ring you can speak to her, she’s always around.”

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.

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 requires improvement (published 28 December 2018) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

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.