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Inspection Summary


Overall summary & rating

Good

Updated 20 December 2019

About the service

Highfield Cottage is a residential care home providing personal care for up to two people living with learning disabilities. People are supported in a domestic bungalow with a garden. At the time of our inspection two people were using the service.

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 well settled living at Highfield Cottage. Relatives told us staff were caring. Staff knew how to protect people from abuse. Risks to people were identified. Staff knew the actions to take to reduce such risks.

Medicine management was generally safe. However, we identified some additional protocols were needed for some ‘as required’ medicines. Recruitment systems reduced the risk of unsuitable candidates being employed.

Staff had the right skills and knowledge to deliver care and support in a person-centred way. They were supported through training, supervision meetings and an annual appraisal.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. The service used positive behaviour support principles to support people in the least restrictive way. People’s health needs were met. The service worked closely with a range of health professionals.

Staff encouraged people to be as independent as they were able. Care and support was based on people’s individual needs and preferences. They were encouraged to take part in the activities that interested them. Staff encouraged and supported people to be part of their local community.

People and relatives told us the service was well led. They told us communication with the service was good.

We have made a recommendation about review of the service's policies.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

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 30 June 2017).

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.

Inspection areas

Safe

Good

Updated 20 December 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 20 December 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 20 December 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 20 December 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 20 December 2019

The service was well-led.

Details are in our well-led findings below.