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Inspection Summary


Overall summary & rating

Good

Updated 3 October 2019

About the service

Loreto Cottage is a residential care home providing personal care and support for up to 16 people with learning disabilities or autistic spectrum disorders. The care home accommodates people in one adapted building and one person in a small self-contained flat onsite. 12 people were using the service at the time of our inspection.

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 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.

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.

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 this thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people.

The service used positive behaviour support principles to support people in the least restrictive way. No inappropriate restrictive intervention practices were used.

Care files were personalised to reflect people's personal preferences. People were supported to maintain a healthy balanced diet. Health and social care professionals and advocates were regularly involved in people's care to ensure they received the care and treatment which was right for them.

Staff relationships with people were caring and supportive. Staff treated people with dignity and respect when helping them with daily living tasks. The service ensured people led meaningful and fulfilled lives.

There were effective staff recruitment and selection processes in place. People received effective care and support from an established management and staff team who were well trained and competent and who knew people well.

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 1st February 2018).

Why we inspected

The inspection was prompted in part due to a complaint received about medicines and a specific incident relating to a person using the service which was investigated by the local authority adult safeguarding team. A decision was made for us to inspect and examine those risks.

We found no evidence during this inspection

Inspection areas

Safe

Good

Updated 3 October 2019

The service was Safe

Details are in our Safe findings below.

Effective

Good

Updated 3 October 2019

The service was Effective

Details are in our Effective findings below.

Caring

Good

Updated 3 October 2019

The service was Caring

Details are in our Caring findings below.

Responsive

Good

Updated 3 October 2019

The service was Responsive

Details are in our Responsive section below.

Well-led

Good

Updated 3 October 2019

The service was Well-Led

Details are in our Well-Led findings below.