CIMA Huthwaite

Updated 7 April 2021

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.

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

One inspector carried out this inspection.

Service and service type

CIMA Huthwaite 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.

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 unannounced.

What we did before the inspection

We reviewed information we had received about the service and sought feedback from the local authority. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

During our onsite inspection visit 25 February 2021 we spoke with three people who used the service. Some people were not able to fully share with us their experiences using the service. Therefore, we spent time observing interactions between people and the staff supporting them in communal areas. We spoke with the registered manager, deputy manager, a team leader and a support worker. We reviewed a range of records. This included two people’s care records and three people’s medication records. We looked at three staff files in relation to recruitment and staff supervision.

We sought further information from the provider, that we did not review on site, to inform our inspection judgements. This included training data, policies, procedures and quality assurance records. We spoke with two professionals who regularly visit the service, we contacted two relatives to ask about their experience of the service. We contacted three staff to ask them about how they cared for people and their experience of working at CIMA Huthwaite.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 7 April 2021

About the service

CIMA Huthwaite is registered to provide accommodation and personal care for up to 4 people. The service is spilt across two adapted buildings compromising of one main house and a bungalow. There were 3 people living at the service at the time of our inspection. CIMA Huthwaite is designed to meet the needs of people diagnosed with a learning disability and/or autism.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

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 experience of using this service and what we found

People were kept safe and there were enough staff to provide support to meet their needs. People were protected from the risk of harm and staff understood how to recognise potential abuse and how to act to keep people safe. People received their prescribed medicines and staff received training about managing medicines safely. Suitable staff had been recruited safely.

People made choices about how they wanted to be supported and how they liked to spend their time. 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. Where people lacked capacity, they were helped to make decisions. Where their liberty was restricted, this had been identified and action taken to ensure this was lawful. They received support and had access to health care services. Staff received training to ensure they could work effectively in their roles.

People had developed positive relationships with the staff. Staff helped people to make choices about their care and their views were respected. People and their family members were involved in the planning and review of their care. Where people had concerns, they were able to make a complaint, and this was responded to by the management team.

Systems were in place to assess and monitor the quality of the service. People told us they felt their views were listened to in order to improve the service. The registered manager worked in partnership with other professionals to ensure people received they care they needed.

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

Rating at last inspection

This service was registered with us on 29/08/2019 and this is the first inspection.

Why we inspected

This was a responsive inspection based on when the service was registered, due to the current COVID-19 pandemic we were unable to inspect sooner. A decision was made for us to inspect.

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.

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.