Archived: Choice Support - Crewe Road

Updated 30 April 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, 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 was carried out by one adult social care inspector.

Service and service type:

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:

The inspection was unannounced.

What we did:

Before the inspection we checked the information, we held about the service and the service provider. We looked at any notifications received and reviewed any other information we held. We also spoke to the local authority about any relevant information they held and used this to help plan the inspection.

We spoke with the three people living in the home but due to their communication needs we were unable to judge what they thought of the care being provided to them. Therefore, we contacted two relatives to seek their feedback and viewed written feedback from another relative. We spoke with five staff including the regional manager, registered manager and care support staff. We observed the support provided to people in the communal areas. We looked at records in relation to the people supported including two support plans and medication records. We also looked at records relating to recruitment, training and systems for monitoring quality and safety.

Updated 30 April 2019

About the service: Choice Support Crewe Road is a care home which provides personal care and accommodation for up to four people with a range of needs including learning disabilities. There were three people living at the service at the time of the inspection.

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.

People’s experience of using this service:

People living at the service received safe care from familiar staff who understood their needs. Staff treated people with dignity and respect and took account of their individual needs when providing care and support. Processes were in place to protect people from avoidable harm. Risks to people had been assessed and were safely managed.

People were supported by staff who had been recruited safely and were well trained. Staff felt supported and told us communication was good. They were kept updated through regular supervisions, team meetings and staff briefings.

The service was responsive to people’s changing needs and staff promoted choices where possible. Where people were unable to express their needs and choices, staff understood their way of communicating. Support plans were in place and included details about people’s likes and preferences. These had all recently been re-written and were now very detailed. Support plans had been developed in consultation with people and their relatives. The service worked well with other agencies to promote people’s health and well-being

Staff were knowledgeable about The Mental Capacity Act 2005 (MCA) They took appropriate action to ensure any restrictions on people’s liberty was correctly assessed and authorised. People were supported to make day to day decisions and where necessary these were made in people’s best interests.

People were supported to take part in activities based on their interests and had developed links within the community. Staff supported people to achieve specific goals and these were kept under review.

The registered manager had worked hard to implement new systems and make improvements to support plans. The management team had a clear understanding of what was needed to ensure the service continued to develop, and ensure people received high-quality care. Feedback was gathered from people and staff and this information was used to make ongoing improvements to the service. The provider had effective systems in place to monitor the service and the quality of the care.

Rating at last inspection: The service had been re-registered under a new provider in January 2019. This was the first inspection under the new provider.

Why we inspected: This was a planned inspection based on our inspection programme.

Follow up: We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk