Background to this inspection
Updated
19 October 2019
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.
Inspection team
The inspection team consisted of one inspector.
Service and service type
High Peak Short Break Service is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
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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.
Notice of inspection
This inspection was announced. The provider was given 48 hours' notice because the location provides is a short break service and we needed to be sure that someone would be at the service.
What we did before the 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 the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We met two people who were staying at the home. We spoke with four relatives and one healthcare professional about their experience of the care provided. We also spoke with eight members of staff including the registered manager, the unit manager, the deputy unit manager, a senior support worker and support workers.
We reviewed a range of records. This included two people’s care records and their medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
19 October 2019
About the service
High Peak Short Break Service provides accommodation and personal care for short periods for adults with a learning disability who normally live in their own homes. Some people receiving care also have physical disabilities and mobility difficulties. The service provides care for a maximum of three people at a time and is based in the village of Hadfield in the High Peak area of Derbyshire.
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 support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
People’s experience of using this service and what we found
People told us they felt safe whilst being cared for at High Peak Short Break Service. Systems were in place to safeguard people from abuse and staff knew their responsibilities in keeping people from harm. There were enough staff to meet people's needs and the same staff supported people which ensured continuity of care. Risks to people were assessed and managed. Medicines were managed safely where minor recording issues were noted; these were dealt with promptly. Systems were in place to reduce the risk of the spread of infection.
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 communicated positive feedback about the service and staff. Health professionals feedback demonstrated a responsive service. Staff were attentive to people's needs and knew individuals well. Staff spoke passionately about the people they supported and worked to uphold their rights. The service achieved positive outcomes for people through attentive care, understanding and responsiveness to the needs people communicated to them.
People had a positive experience whilst staying at High Peak and were comfortable in the company of staff who supported them. Staff knew people well and consistently interacted with people in a person-centred way. Staff understood how to provide care which promoted people's privacy, dignity and independence.
People, relatives and staff provided good feedback about the management of the service. They were confident that concerns were dealt with and resolved to their satisfaction. Staff told us the registered manager supported them at all times and had an 'open-door' policy.
People were asked their opinions on the service by attending meetings and completing surveys, suggestions had been acted upon. There was an open and transparent culture within the service. There were effective quality assurance systems in place to assess, monitor and improve the quality and safety of the service provided.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
The last rating for this service was good (published 3 November 2016).
Why we inspected. This was a planned inspection based on the previous rating.
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.