Background to this inspection
Updated
28 September 2022
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 Health and Social Care Act 2008.
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 one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Creative Support Doseley 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. Creative Support Doseley 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.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used all of this information to plan our inspection.
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection
We communicated with three people who lived at the home and three relatives about their experience of the care provided. One person verbally communicated their experiences through words and sentences. Two other people used different ways of communicating, including using sounds, their own sign language and their body language.
We spoke with six staff including the registered manager, senior care workers and care workers. We received feedback from two visiting health professionals and one visiting social care professional. We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at two staff files in relation to safe recruitment. A variety of records relating to daily care practices, risk assessments and management of the service, including policies and procedures were reviewed.
Updated
28 September 2022
About the service
Creative Support Doseley Road is a care home providing care and support to autistic people and people with a learning disability. At the time of our inspection the home was providing personal care to three people. The service can support up to five people. Doseley Road accommodated people in one adapted building, there were communal rooms and a large garden for people to enjoy.
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.
People’s experience of using this service and what we found
Right Support:
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.
People received care and support in a safe, clean and well-maintained environment. This met their sensory and physical needs, whilst making it feel homely.
People had choice and control in their living environment. People chose how they wanted to spend their day. Staff encouraged people to make their own decisions and take positive risks.
People personalised their home and bedrooms in their own personal style. Some people chose to have a key to lock their bedroom door when they were in their bedroom. Choices were respected by the provider and staff team.
Relatives told us staff had in-depth knowledge about their family members and developed meaningful relationships with their family member, based on trust and mutual respect.
Staff told us how to communicate with people. They had detailed understanding of the way people chose to communicate. Staff members told us to stop attempting to communicate with people when they saw signs people were becoming anxious. It was clear staff put people’s wellbeing first, above anything else occurring in the home.
Staff supported people with their medicines in a dignified and safe way. They ensured people's privacy was respected when they received their medication.
Right Care:
People’s needs, aspirations and quality of life was the main focus of care and support. Staff members told us they were there to support people to live their own life and visiting health professionals confirmed this, adding how the provider strived to ensure people lived their own lives free from restrictions.
Staff understood how to protect people from poor care and abusive practices. All staff had received safeguarding training and they were confident to raise concerns.
There were enough appropriately skilled staff to meet people's needs and keep them safe. Staff had been recruited safely.
Relatives felt the care received was kind and compassionate. The provider worked with advocacy services to ensure people’s voice was heard.
Visiting professionals told us how the registered manager was driven in proving the highest quality of care which produced the best opportunities for people using the service.
Right Culture:
Staff member's said the registered manager was a great leader. A leader who focused on the rights of the people using the service and acted as a positive role model, leading by example to the staff team.
Staff members told us they felt they worked in an inclusive environment which focused on high quality support for people who used the service.
Health and social care professional praised the management and leadership qualities of the registered manager. Explaining the registered manager works openly and transparently to achieve the best outcomes for people.
Relatives felt included in the service and told us they could raise concerns or make suggestions freely.
The culture of the service was open and transparent. Incidents and accidents were shared with the staff team in order to learn from mistakes and improve the service.
Innovative ideas and suggestions were acted upon to ensure all person's using the service received inclusive care and could access the community regardless of physical difficulties.
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 (published 27 November 2020).
Why we inspected
We undertook this inspection as part of a random selection of services which have had a recent Direct Monitoring Approach (DMA) assessment where no further action was needed to seek assurance about this decision and to identify learning about the DMA process.
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.