Background to this inspection
Updated
11 April 2019
The inspection: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: The inspection took place on 27 February 2019 and was announced at short notice to ensure someone would be at home. The inspection was conducted by one adult social care inspector and an assistant adult social care inspector.
Service and service type: Track Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. 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. The registered manager was on leave during the inspection.
What we did: Prior to our inspection we reviewed all the information we held about the service. This included information from notifications received from the registered provider, feedback from the local authority safeguarding team and commissioners. We reviewed all the information we had been provided with from third parties to fully inform our approach to inspecting this service.
Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. This information was used to help inform our inspection.
During our visit we spent time looking at two people’s care plans, we also looked at two records relating to staff recruitment and training, and various documents relating to the service’s quality assurance systems. We spoke with the deputy manager, the area manager and two support workers. We spoke with two people who used the service and two of their relatives on the telephone after the inspection visit.
Updated
11 April 2019
About the service: Track Road is a four bedroomed house in a residential area. The house accommodates four people with autism and/or learning disabilities. There is a lounge, dining room and kitchen and each person has their own individualised room.
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 service was delivered in line with these values.
People’s experience of using this service:
¿ People told us they felt safe at Track Road. Staff had a good understanding of how to safeguard adults from abuse and who to contact if they suspected any abuse had taken place. Safe recruitment and selection processes were in place.
¿ Risk assessments were individual to people’s needs and minimised risk whilst promoting people’s independence. Staff were trained and competent to administer medicines.
¿ Staff felt supported with an induction and role specific training, which ensured they had the knowledge and skills to support the people who lived at the home. People were supported to eat a balanced diet, and meals were planned around their tastes and preferences.
¿ People received a good level of support to lead fulfilling lives and achieve their aspirations. They were supported to maintain good health and had access to healthcare professionals and services.
¿ 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. Evidence of best interest discussions, where required, was not always available. The registered manager sent us evidence these were completed following our inspection.
¿ Staff were caring and supported people in a way that maintained their dignity, privacy, independence and diverse needs.
¿ People experienced person centred care and engaged in social and leisure activities which they chose.
¿ The registered provider had good systems of governance in place to drive improvements to the quality of the service.
¿ Further information is in the detailed findings below.
Rating at last inspection: At the last inspection the service was rated good and remained good at this inspection (last report published 19 August 2016).
Why we inspected: This was a planned comprehensive inspection which took place on 27 February 2019 and was announced.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk