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Independence Homes Limited - 14 Cranley Gardens Good

Inspection Summary


Overall summary & rating

Good

Updated 1 May 2018

Independence Homes Limited - 14 Cranley Gardens is a ‘care home’. People in care homes receive accommodation and 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.

Independence Homes Limited - 14 Cranley Gardens accommodates six people with a learning disability in one adapted building. The 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. At the time of this inspection there were 6 people using the service.

This inspection took place on 21 March 2018. At our last inspection of the service we rated the service ‘good’. At this inspection we found the evidence not only continued to support the rating of good, we also found for the key question ‘is the service caring?’ the service had improved to ‘outstanding’. There was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns.

Staff had formed open and honest relationships with people and their relatives to gain their trust and build confidence that the care and support provided would be caring, considerate and reflective of people’s specific needs and preferences. Staff dealt with any tensions and conflicts that arose with empathy and compassion and went the extra mile to enable people to express their views so that their preferences and choices would be understood by everyone supporting them. They encouraged people to explore different options with regard their care.

People and relatives praised staff for their care and kindness. Staff were considerate and attentive to people’s needs, spoke about people with great respect and affection and clearly knew people well and what was important to them in terms of their day to day support. Staff respected people’s right to privacy and to be treated with dignity. They were warm and welcoming towards people’s relatives when they visited the service.

People were safe living at Independence Homes Limited - 14 Cranley Gardens. Staff understood how to safeguard people from the risk of abuse. Staff followed current guidance on how to minimise identified risks to people to keep them safe from injury or harm.

Risks posed to people by the premises were appropriately managed. The provider maintained a servicing programme of the premises and the equipment used by staff to ensure those areas of the service covered by these checks did not pose unnecessary risks to people. The premises was kept clean and clear of slip and trip hazards. Staff followed good practice to ensure risks to people were minimised from poor hygiene and cleanliness when providing personal care, cleaning the premises and when preparing and storing food. Medicines were stored safely and securely and people received them as prescribed.

There were sufficient numbers of staff to keep people safe. The provider maintained recruitment checks to assure themselves of staff's suitability and fitness to support people. Staff had regular and relevant training to keep their knowledge and skills up to date with best practice.

Staff adhered to current best practice, legislation and standards in the delivery of people's care and support needs to help them achieve positive outcomes in relation to their physical, emotional and mental health and wellbeing. People were actively involved in planning and making decisions about their care and support needs so that they would continue to receive highly personalised care and support, tailored to meet their individual needs. People’s care and support needs were discussed and reviewed with them regularly to ensure the support provided continued to meet these.

People were encouraged to keep healthy and well, to eat and drink enough to meet their needs and helped to access healthcare services when

Inspection areas

Safe

Good

Updated 1 May 2018

The service remains good.

Effective

Good

Updated 1 May 2018

The service remains good.

Caring

Outstanding

Updated 1 May 2018

The service has improved to outstanding.

Responsive

Good

Updated 1 May 2018

The service remains good.

Well-led

Good

Updated 1 May 2018

The service remains good.