10 August 2020
During an inspection looking at part of the service
50 Burton Road is a care home providing personal care and accommodation for up to six people. At the time of the inspection there were five people living there. People living at the service had learning disabilities.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
People’s experience of using this service and what we found
Quality assurance systems had failed to fully implement and embed actions to ensure people’s care was sufficiently monitored. Risks were not always accurately assessed and planned for and people were not always protected. Care plans were not always fully reflective of people’s needs; however, staff knew people well. Some people had missed medical appointments as systems were not effective. Infection control measures were not always consistently applied which could pose a cross infection risk.
People were supported by enough staff, although staffing levels varied. Medicines were managed safely. Lessons were learned when things went wrong. People were protected from abuse by staff who knew how to recognise and report concerns. People and staff were engaged in the service. Relatives and staff felt there had been many improvements to the service since the new registered manager started. The provider acted upon their duty of candour responsibilities.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was good (published 20 March 2018). At this inspection, there had been a deterioration and safe and well-led were rated requires improvement. There were no breaches of regulations.
Why we inspected
We received concerns about people’s safety and staffing. As a result, 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 deteriorated to requires improvement overall. This is based on the findings at this inspection.
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 monitor the service.
We have identified breaches in relation to people not always being protect from risks and systems are not always effective at identifying areas to improve.
Please see the action we have told the provider to take at the end of this report.
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.