45 Watson Road

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.

This is the first inspection at 45 Watson Road following the new providers registration with the Care Quality Commission (CQC) on 23 April 2017.

45 Watson Road is a 'care home.' People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

The care home can accommodate six people in one adapted building. The home has six 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 six people who lived at the home.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

The registered provider was an individual who also managed the home on a day to day basis. Registered providers are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People who lived at the home told us they were safe, well cared for and enjoyed living at the home. Comments received included, “It’s brilliant here I am so happy.” And, “I really like living here we all get on so well.”

The service had systems in place to record safeguarding concerns, accidents and incidents and take necessary action as required. Staff had received safeguarding training and understood their responsibilities to report unsafe care or abusive practices.

Risk assessments had been developed to minimise the potential risk of harm to people during the delivery of their care. These had been kept under review and were relevant to the care provided.

We found sufficient staffing levels were in place to provide support people required. People who lived at the home told us staff were always available to support them with their daily activities.

There had been no new staff recently recruited by the service. Procedures for recruiting staff remained safe as we found at previous inspections.

We found staff had been appropriately trained and supported. They had skills, knowledge and experience required to support people with their care and social needs.

Staff responsible for assisting people with their medicines had received training to ensure they had the competency and skills required.

We saw there was an emphasis on promoting dignity, respect and independence for people supported by the service. They told us they were treated as individuals and received person centred care.

We looked around the building and found it had been maintained, was clean and hygienic and a safe place for people to live. We found equipment had been serviced and maintained as required.

The design of the building and facilities provided were appropriate for the care and support provided.

The service had safe infection control procedures in place and staff had received infection control training. Staff wore protective clothing such as gloves and aprons when needed. This reduced the risk of cross infection.

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's care and support had been planned with them. They told us they had been consulted and listened to about how their care would be delivered. Care plans were organised and had identified care and support people required. We found they were informative about the care people had received. The care plans were person centred and documented all aspects of the person’s needs including how they wanted their care and support to be provided, their wants, needs, likes and dislikes.

People told us they were happy with the variety and choice of meals available to them. Meal times were relaxed and organised around people’s individual daily routines. We saw people had access to the kitchen to make snacks and drinks as they wished.

People were supported to have access to healthcare professionals and their healthcare needs had been met.

People told us staff were caring towards them. Staff we spoke with understood the importance of high standards of care to give people meaningful lives.

The service had information with regards to support from an external advocate should this be required by people they supported.

We saw people who lived at the home enjoyed a variety of activities both individually and as a group. One person said, “We are all enjoying watching the football together. We are so excited about England.”

The service had a complaints procedure which was made available to people and their family when they commenced using the service. The people we spoke with told us they were happy with the service and had no complaints.

The service used a variety of methods to assess and monitor the quality of the service. These included regular audits and satisfaction surveys to seek their views about the service provided.

Further information is in the detailed findings below.