Background to this inspection
Updated
12 January 2024
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.
As part of this inspection, we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by 1 inspector.
Service and service type
45 Watson Road is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. 45 Watson Road is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This was a small family run home, so we gave the service 24 hours’ notice of the inspection. This was because we needed to be sure that the provider would be available to support the inspection.
What we did before the inspection
We reviewed information we had received about the service since their registration. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 5 people who lived at the home, the provider and 1 staff member. We looked at a range of records. These included 2 people’s care records, fire and maintenance records and audits of the service.
Updated
12 January 2024
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.
About the service
The care home can accommodate 6 people in one adapted building. The home has 6 single bedrooms. Communal space comprised of a lounge and kitchen/dining room located on the ground floor. Off street parking is available for people visiting the home. At the time of our inspection visit there were 5 people who lived at the home.
People’s experience of using this service and what we found
Right Support:
The service supported people to have choices and promoted their independence. This is a small family run home however staff had completed training to ensure they understood the meaning of the service they provide. People were supported to pursue their interests whilst living at 45 Watson Road. One person said, “I love to go shopping with [staff member].” People were encouraged to have maximum choice and control of their lives. The provider and staff helped them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People’s medication was managed by staff who had received competency training.
Right Care:
People received kind and compassionate care from the provider, and small staff team. The provider was knowledgeable about people’s preferences, communication and aspirations. One person said, “We are one family.” The provider and staff protected and respected people’s privacy and dignity. They spoke about people with respect and were knowledgeable about people who lived at the home. Staff understood how to protect people from poor care and abuse. No new staff had been recruited and the home was run as a family home. Where appropriate, the provider and staff encouraged and enabled people to take positive risks and live an independent life as possible.
Right Culture:
The service promoted person-centred care involving people who used the service and their families. People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the provider and small staff team. People were involved in planning their care. The provider evaluated the quality of support provided to people. This involved the person, their families and other professionals as appropriate. Staff ensured risks of a closed culture were minimised, so people received support based on transparency and respect. The provider had a formal and informal range of systems to monitor the quality of the service and drive improvements.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The service was rated good on the 16 February 2018
Why we inspected
We carried out this inspection due to the length of time since the last inspection.
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.