About the service Highbury Court Flats is a residential care home providing accommodation and personal care to up to 6 adults with mental health issues and/or learning disabilities in their own flats. At the time of our inspection there were 6 people using the service.
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. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.
People’s experience of using this service and what we found
Right support: The provider supported and encouraged people to be as independent as possible. Staff focused on people's strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life.
People lived within walking distance of local shops and amenities. There was a bus stop and tram link nearby, which enabled people to use public transport if they wished to travel further afield.
People were kept safe from avoidable harm because staff knew them well and understood how to protect them from abuse. The service worked well with other agencies to do so.
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.
There were personalised risk assessments in place covering all aspects of the service and support provided. Medicines were managed safely. Infection control measures were in place.
Right care: Staff relationships with people were caring and supportive. Staff provided care that was kind and compassionate. The service had enough appropriately skilled staff to meet people's needs and keep them safe. The provider was in the process of providing enhanced learning disability and autism training to all staff in line with legislation.
Right culture: Staff felt respected, supported and valued by the registered manager. Staff knew and understood people extremely well and were responsive, supporting their aspirations to live a quality life of their choosing.
A number of methods were used to assess the quality and safety of the service people received. However, some audits had lapsed and needed enhancing further.
We have made a recommendation about the governance systems.
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 good (published 19 November 2018).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
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.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Highbury Court Flats on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.