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Inspection Summary


Overall summary & rating

Good

Updated 8 August 2019

About the service

Carisbrooke is a care home providing personal care and accommodation for up to 12 people, who may be living with a learning disability. At the time of the inspection nine 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.

Carisbrooke is a large home, bigger than most domestic style properties. This is larger than current best practice guidance. However, the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

People’s experience of using this service

Maintenance issues were not always reported to ensure these were addressed promptly. This was rectified after inspection. We made a recommendation to improve this in the report.

The provider had systems in place to safeguard people from abuse. Staff demonstrated an awareness of each person's safety and how to minimise risks for them. Medicines were managed safely. Accidents and incidents were monitored to identify and address any patterns or trends to reduce the risk of recoccurrence. Systems were in place to recruit staff safely.

People were supported with good nutrition and could access appropriate healthcare services. Staff were equipped with relevant skills.

There was a very homely and welcoming atmosphere where people were supported by staff who were kind, caring and treated them with dignity and respect. People were relaxed and happy in the company of staff and the registered manager.

People received person-centred care from staff who developed positive, meaningful relationships with them. People had opportunities to socialise and participate in activities and entertainment of their choosing. Care plans were detailed and up to date about people's individual needs and preferences.

The environment was clean and free from malodours. People had personalised rooms.

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. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

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.

There was strong leadership at the service and people, relatives and staff spoke highly of the registered manager. There was a positive culture at the service where staff felt listened to and supported. There was a drive to continuously improve the service for people and the registered manager and staff team were very responsive to any areas for improvement identified. People using the service and staff had the opportunity to feedback about the service. There was a system in place to respond to any concerns.

For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk.

Rating at the last inspection

At the last inspection the service was rated good (published 31 Decem

Inspection areas

Safe

Requires improvement

Updated 8 August 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 8 August 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 8 August 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 8 August 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 8 August 2019

The service was well-led.

Details are in our well-led findings below.