About the service
Neville’s Court is a residential care home for up to three adults living with a neurological, learning and physical disability. At the time of inspection three people were living at the service.
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
Communication between the management team and the care staff at the service was poor. Staff were unsure of their roles and responsibilities which resulted in tasks not being completed. Some training had been allowed to lapse, training records were not maintained, supervisions had not taken place and medicines were not always managed safely at the service.
The management team had identified some failures in the management of medicines along with staff training and had started to address these matters.
Relatives and people we spoke with were happy with the service. One person told us, “It’s great here.”
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 people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
The provider ensured people had a safe environment. Health and safety checks were regularly undertaken. A robust recruitment procedure was in place which included ensuring appropriate checks were undertaken before staff started work. Staff were knowledgeable about safeguarding and what action they should take if they suspected abuse was taking place. Systems were in place to learn from safeguarding concerns and accidents and incidents.
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 understood and applied the principles of the Mental Capacity Act (MCA), and were aware of people’s rights when they could not consent themselves. People were supported to access independent advocates.
People had enough to eat and drink and were supported to have choice in what they ate and drank. Staff promoted people to maintain a healthy diet.
People received person-centred care and were supported by staff who knew them well. Relatives told us they were regularly consulted and involved in the family member’s care discussions.
Relatives were complimentary about the care staff team. They told us staff were kind and respectful. Staff told us they worked as a team and were supportive of each other. The service worked with external healthcare professionals to support and maintain people’s health.
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 with one breach of regulation relating to good governance, (Published on 07 December 2018). At this inspection we found improvements had not been made or sustained and the provider remained in breach of regulation relating to good governance and a further breach was found in regulation regarding safe care and treatment.
The service remains rated requires improvement. This service has been rated requires improvement for the last two consecutive inspections.
Why we inspected
We received concerns in relation to the management of the service. As a result, we bought forward a comprehensive inspection.
We identified two breaches of the Health and Social Care Act (Regulated Activities) Regulations 2014 including safe care and treatment and good governance.
You can see what action we have asked the provider to take at the end of this full report. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Neville’s Court on our website at www.cqc.org.uk.
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.