We carried out a review of the data available to us about Oval Residential Home - 170 Oval Road on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Oval Residential Home - 170 Oval Road, you can give feedback on this service.
170 Oval Road is a residential care home providing personal care to up to four people. The service provides support to adults living with mild to moderate learning disability needs. At the time of our inspection there were three people using the service.
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.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and 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 supporting people with a learning disability and autistic people and providers must have regard to it.
The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.
People's experience of using this service and what we found
Right support
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. The outcomes for the people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. The support focused on people having as many opportunities as possible to gain new skills and become more independent.
People were kept safe. Staff knew how to raise safeguarding concerns and how to report them appropriately. Risks to people were identified as part of the assessment and care planning procedure. Risk management strategies were in place to assist staff to manage these risks and to identify triggers for behaviours that may challenge, for people they were supporting.
There were sufficient numbers of staff to meet people's needs.
We saw that medicines were managed in a safe way.
Right care
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.
Staff received a wide range of training to ensure they had the skills and knowledge to support people safely. Staff told us they also received regular, supportive supervisions.
People's dietary needs were being met, and they had access to healthcare services where needed.
People were supported by staff in a kind and caring way. People were supported and encouraged to maximise their full potential where-ever possible. Staff knew the people well and care records detailed people's preferences, likes and dislikes. People had access to social activities that met their interests and needs.
A complaints procedure was available and displayed to enable people to access it if they or their relatives had a need.
Right culture
People received personalised care and support to meet their needs and wishes.
People using the service, relatives and staff were given the opportunity to provide feedback on the service. Audits took place to ensure the quality of the service was maintained.
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 the last inspection and update
The last rating for this service was good (published August 2019).
Why we inspected
We undertook this inspection to assess that the service is applying the principles of right support, right care and right culture.
This was prompted by a review of the information we held about this service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
The overall rating for this service is good. This is based on the findings of this inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect. If we receive any concerning information we may inspect sooner.
170, Oval Road is a care home providing personal care and accommodation to people living with mild to moderate learning disabilities. There is a second home at 164a Oval Road, again for up to three people which is run and managed by the same provider. The service can support up to three people. The care home accommodated three people at the time of this inspection in one adapted building.
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 of 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 told us they felt safe living at this home. The registered manager, deputy manager and staff understood their responsibilities to raise concerns and report incidents or allegations of abuse.
The registered manager had planned and booked training to ensure staff had appropriate knowledge to support people.
Risks to people's personal safety had been assessed and plans were in place to minimise those risks.
The premises were cleaned and well maintained. Safe infection control procedures were in place that staff implemented effectively.
People enjoyed the food and could choose what they ate. People’s cultural preferences were catered for.
Staff recruitment and staffing levels supported people to stay safe while working towards their goals and going about their lives.
The administration of medicines to people was safe, and people received their medicines as prescribed. The storage of medicines was safe.
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.
People received effective care and support from staff who knew them well.
People had their healthcare needs identified and were able to access healthcare professionals such as their GP. We observed kind and friendly interactions between staff and people. People told us staff were caring and respected their privacy and dignity.
People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
There were systems in place to ensure concerns and complaints were responded to in an appropriate way.
The service encouraged feedback from people, families, and professionals, which they used to make improvements to the service and protect people against the risks of receiving unsafe and inappropriate care and treatment.
Staff felt the registered manager was supportive and open with them and communicated what was happening at the service and with the people living there.
The provider had quality assurance systems in place to monitor the running of the service and the quality of the service being delivered. With the help of the staff team, they took actions to address any issues.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
At the last inspection the service was rated good (Report was published 23 January 2017).
Why we inspected
This was a planned inspection in line with our inspection schedule 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 reinspection programme. If we receive any concerning information we may inspect sooner.
At our previous inspection in November 2014, we found the provider was meeting the regulations we inspected.
People were able to tell us directly what their views were of the service and told us that they felt safe using the service. Staff were trained in safeguarding adults and the service had policies and procedures in place to ensure that the service responded appropriately to allegations or suspicions of abuse. The service ensured that people’s human rights were respected and took action to assess and minimise risks to people. Staff had received training on behaviour that may challenge and the service consulted with other professionals about managing aspects of behaviour safely.
People told us that they thought that staff were friendly and helpful. Throughout our inspection we observed that staff were caring and attentive to people. Staff approached people with dignity and respect and demonstrated a good understanding of people’s needs. Staff were quick to respond when people needed support.
There were enough qualified and skilled staff at the service. Staff had access to information, support and training that they needed to do their jobs well. The provider’s training programme was designed to meet the needs of people using the service so that staff had the knowledge they required to care for people effectively. The provider also made use of training provided by the local authority social services team when this was offered.
People were provided with a range of activities in and outside the service which met their individual needs and interests. People were encouraged to build and develop their independent living skills both in the service and in the community.
Care plans contained information about the health and social care support people needed and records showed they were supported to access other professionals when required. People were involved in making decisions about their care. Where people's needs changed, the provider responded and reviewed the care provided.
People using the service and staff told us they found the manager to be friendly and accessible. We observed an open and inclusive atmosphere in the service and the manager led by example. Staff were happy working for the service and motivated to provide person centred care.
The service had effective procedures for reporting and investigating incidents and accidents.
Oval Residential Home - 170 Oval Road – 170 Oval Road is a residential care home, providing accommodation and personal care for up to three people with learning disabilities. There is a second home at 164a Oval Road, known as “Oval Residential Home - 170 Oval Road”, again for up to three people which is run and managed by the same provider. Oval Residential Home - 170 Oval Road – 170 Oval Road has a registered manager who also manages the sister home. A registered manager is a person who has registered with the Care Quality Commission to manage the service and shares the legal responsibility for meeting the requirements of the law with the provider.
At our previous inspection in September 2013, we found the provider was meeting the regulations we inspected. This latest inspection took place on 24 November 2014 and was unannounced.
People were able to tell us directly what their views were of the service and told us that they felt safe using the service. Staff were trained in safeguarding adults and the service had policies and procedures in place to ensure that the service responded appropriately to allegations or suspicions of abuse. The service ensured that people’s human rights were respected and took action to assess and minimise risks to people. Staff had received training on behaviour that may challenge and the service consulted with other professionals about managing aspects of behaviour safely.
Both people we spoke with told us that they thought that staff were friendly and helpful. Throughout our inspection we observed that staff were caring and attentive to people. Staff approached people with dignity and respect and demonstrated a good understanding of people’s needs. Staff were quick to respond when people needed support.
There were enough qualified and skilled staff at the service. Staff had access to information, support and training that they needed to do their jobs well. The provider’s training programme was designed to meet the needs of people using the service so that staff had the knowledge they required to care for people effectively. The provider also made use of training provided by the local authority social services team when this was offered.
People were provided with a range of activities in and outside the service which met their individual needs and interests. People were encouraged to build and develop their independent living skills both in the service and in the community.
Care plans contained information about the health and social care support people needed and records showed they were supported to access other professionals when required. People were involved in making decisions about their care. Where people's needs changed, the provider responded and reviewed the care provided.
People using the service and staff told us they found the manager to be friendly and accessible. We observed an open and inclusive atmosphere in the service and the manager led by example. Staff were happy working for the service and motivated to provide person centred care.
The service had effective procedures for reporting and investigating incidents and accidents.
Overall, we have found that 170 Oval Road meets the essential standards but to maintain this we have suggested that some improvements are made. Please see main report for this information.