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Chad Ltd - Cordingley House Outstanding

Inspection Summary


Overall summary & rating

Outstanding

Updated 17 October 2018

This inspection took place between 12 and 19 September 2018 and was announced. We previously inspected the service in January 2016 and rated the service as good overall with an outstanding rating in the responsive key question. At this inspection we found that the service had improved further and was outstanding overall.

Chad Ltd – Cordingley House is a ‘care home’. People in care homes receive accommodation and personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. The service provides support to four adult males who have a range of health needs including an autistic spectrum disorder.

The service also provides care and support to two people living in two ‘supported living’ settings, so they can live in their own home as independently as possible. These people’s care and housing is provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at their personal care and support only.

This care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary life as any citizen.

The established registered manager remained in post. A registered manager is a person who has registered with CQC to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The registered manager was supported by a service manager who was in the process of applying to become a registered manager.

The senior staff including the registered manager had extensive experience of working with people who had an autistic spectrum disorder or a learning disability. The management team strived for excellence within their team and had themselves researched career progression and engaged in opportunities to develop. Cordingley House had acted as a model of best practice for a similar local service.

People benefitted from a very reliable and consistent team of dedicated staff who told us they were proud to work for the provider and loved their jobs. This made the atmosphere in the home and the supported living settings very relaxed which in turn reduced episodes of behaviour which may have challenged the staff and put people at risk.

The quality assurance framework in place across the services was robust. The service manager and registered manager conducted daily, weekly and monthly audits that were systematic and meaningful. They ensured the service continued to provide excellent quality and safe care. The records kept of these checks demonstrated that they were methodically undertaken and where issues were identified, prompt action had been taken.

Record keeping in all aspects of the service was to a high standard. We found the staff strived to ensure all records were detailed, current and legible. The provider ensured that they held a relevant and accurate record of the care and support people had received in the past and at present.

The provider offered plenty of opportunities for people, relatives and staff to talk to them about the service. Staff and ‘Resident/Relative’ meetings were held regularly and minutes were recorded. People, family members and staff were actively encouraged to contribute to decisions made about the services. The staff also gave family members regular updates about their relatives in relation to their health, progression and social activities. A recent annual satisfaction survey took place which we saw was overwhelmingly positive.

The provider had made a real effort to successfully develop and improv

Inspection areas

Safe

Good

Updated 17 October 2018

The service was safe.

The service had effective systems in place to safeguard people from harm.

Risks to people’s health and wellbeing had been assessed and significantly reduced.

People received their medicine in a safe manner.

There were enough staff employed to meet people’s needs and they had been recruited safely.

Effective

Outstanding

Updated 17 October 2018

The service was extremely effective.

Staff knew people exceptionally well which helped people to achieve their dreams and ambitions.

Staff were very well trained and worked in line with best practice guidance to achieve positive outcomes for people.

People's rights were very well protected and promoted.

Staff worked closely with external professionals to ensure people were continually assessed and received the care and support they were entitled to.

Caring

Outstanding

Updated 17 October 2018

The service was exceptionally caring.

People and their family members told us the service went ‘above and beyond' to ensure people’s needs and wishes were met. They were extremely positive about the outstanding care they received.

People were supported by a team of dedicated staff who supported them to build and maintain their independence.

Staff provided exceptional support which enabled people to develop and meet their goals and ambitions.

Staff were incredibly knowledgeable about people and their wishes which had a beneficial impact on people’s lives.

Responsive

Outstanding

Updated 17 October 2018

The service was very responsive.

There was an excellent person-centred culture throughout the company.

Regular reviews were carried out by staff who knew people very well.

Activities that were interesting and meaningful to people enriched their lives.

Well-led

Outstanding

Updated 17 October 2018

The service was extremely well-led.

The strong management team were actively involved in all aspects of the service and had extremely good knowledge about the needs of people.

There were clear visions and values for the service to continually improve the existing high standards of care provided by passionate staff.

There was an exceptionally robust quality monitoring system in place. Record keeping was to a very good standard.

Staff felt extremely valued and felt their contribution to the service was recognised.