367 Thornaby Road

Updated 5 February 2022

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

Two inspectors carried out this inspection.

Service and service type

367 Thornaby 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 who was not registered with the Care Quality Commission. This means the provider is legally responsible for how the service is run and for the quality and safety of the care provided. Following our inspection the manager submitted an application to be the registered manager.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we held about the service, including the notifications we had received from the provider. Notifications are changes, events or incidents the provider is legally obliged to send us within required timescales. 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 (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

We used all of this information to plan our inspection.

During the inspection

People were unable to communicate with us verbally so we carried out observations around the service. We spoke with three relatives about their experience of the care provided. We also spoke with an external professional who worked with the service.

We reviewed a range of records. This included two support plans, daily notes and observation charts. We spoke with five members of staff, including the manager and support staff.

Updated 5 February 2022

About the service

367 Thornaby Road is a residential care home providing personal and nursing care to four people with learning disabilities at the time of the inspection. The service can support up to five people.

People’s experience of using this service and what we found

People received kind and caring support. People and an external professional said people were happy at the service.

We have made a recommendation around accessible information. People received personalised support that reflected their needs and choices. A clear complaints process was in place.

Risks to people were assessed and addressed. Medicines were managed safely. Effective infection prevention and control procedures were in place. People were supported by staff who had been safely recruited.

Staff were supported with regular training, supervision and appraisal. The premises were adapted to meet people’s needs, and were being reviewed to see if they could be further personalised. 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.

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.

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

Right support:

• Model of care and setting maximises people’s choice, control and independence

Right care:

• Care is person-centred and promotes people’s dignity, privacy and human

rights

Right culture:

• Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives

Quality assurance systems were in place to monitor and improve standards at the service. The manager and provider promoted a kind and caring culture. Feedback was sought and acted on.

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 18 August 2018).

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.