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Sharon House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 31 October 2019

About the service:

Sharon House is a residential care home providing personal care and accommodation to up to five people with a learning disability. The home is on a residential street. On the day of our inspection there were four people living in the care home.

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.

People’s experience of using this service:

People told us they enjoyed living at the service. They felt safe and told us staff were kind and caring. Feedback from families and health professionals also confirmed this.

There was a person-centred culture at the service. 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.

We found some areas in which the service required improvement as we did not always find documentation to evidence good practice at the service in the areas of fire drills, medicines management and accidents and incidents. Although we were confident people were not harmed as staff had appropriate knowledge and skills to care for them.

People were supported to access health services to help promote good health and wellbeing. Health and social care professionals and family members praised the service provided. However, we were concerned the registered manager had not ensured there was sufficient written information for staff to follow regarding one person’s physical health condition that had recently been diagnosed.

People were encouraged to engage in activities within the community.

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.

People were safeguarded against the risks of abuse and harm by the systems and by the staff. Risks to people were assessed and mitigated. There were enough staff to meet people’s needs and provide flexible, responsive care.

We found one breach of the regulations in relation to the governance of the service.

Please see the action we have told the provider to take at the end of this report.

The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.

As part of thematic review, we carried out a survey with the nominated individual at this inspection. The nominated individual is responsible for supervising the management of the service on behalf of the provider. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people.

The service used some restrictive intervention practices as a last resort, in a person-centred way, in line with positive behaviour support principles.

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 the service was requires improvement (published 10 January 2019). The service remains rated requires imp

Inspection areas

Safe

Requires improvement

Updated 31 October 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Good

Updated 31 October 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 31 October 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 31 October 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 31 October 2019

The service was not always well-led.

Details are in our Well-led findings below.