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Inspection Summary


Overall summary & rating

Outstanding

Updated 14 June 2018

We carried out this announced inspection on 23 March and 03 April 2018. At our last inspection, on 25 February 2016 the service was rated Good. At this inspection, we found the service remained Good in Safe, Effective and Caring. The service had progressed to Outstanding in Responsive and Well-led giving it an overall rating of Outstanding.

Tabs @ 42 is a care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

This service provides accommodation and personal care for up to five adults. People living at the service have complex needs that include Autism spectrum disorder, learning and physical disabilities. It is situated in Northampton and the premises had been adapted to provide people with individual flats. The service also has a secluded garden.

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.’

At the time of our inspection, two people were using the service.

The home has a registered manager. This is a person who has registered with the Care Quality Commission 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 management team were highly committed to ensuring people lived fulfilling lives. The whole focus of peoples care was person centred and focused on promoting their independence and social inclusion. Staff and the management team were exceptional at empowering people to have as much control over their lives as possible and to achieve their maximum potential. The staff were passionate about the person-centred approach of the service and it was clear it was run with and for people. It was obvious that the culture within the service valued the uniqueness of all individuals.

The service had taken inventive steps to meet people’s communication needs and we saw extensive communication plans and tools that were in use. These had been tailored to each individual and ensured effective communication took place. Staff empowered people with complex needs and behaviours to feel a part of their community, and to achieve their goals. People took part in activities at the service and in the wider community. Each person had a personalised pictorial activity plan and were supported to take part in activities of their choosing. Staff supported people by responding to their communication methods and body language to understand if they were unhappy or dissatisfied with any elements of the service.

We found a progressive and highly positive staff team that placed people and their relatives firmly at the heart of their care. The service was led by a dedicated and passionate management team who had embedded a culture and ethos within the service that was open, encouraging and empowering. Staff were openly proud to work for the service and wanted it to be the very best it could be. Staff and the management team were very committed to their work and faced up to any challenges and used these to improve the support for people using the service.

Staff attended a variety of meetings that gave them an opportunity to share ideas, and exchange information about possible areas for improvements. Ideas for change were welcomed, and used to drive improvements and make positive changes for people. Quality monitoring systems and processes were used robustly to make positive changes, drive future improvement and identify where action needed to be taken. All staff, irrespective of their role,

Inspection areas

Safe

Good

Updated 14 June 2018

The service remained good.

Effective

Good

Updated 14 June 2018

The service remained good

Caring

Good

Updated 14 June 2018

The service remained good.

Responsive

Outstanding

Updated 14 June 2018

The service has improved to Outstanding.

The service had taken innovative steps to meet people’s information and communication needs. Extensive communication plans and tools were available that were tailored to each person.

People's care was bespoke and based around their individual goals and their specific personal needs and aspirations. People with complex needs and behaviours that may challenge, were being empowered and enabled to feel a part of their community, and to achieve their goals and more.

People were supported by staff who carefully responded to their communication methods and body language to understand if they were unhappy or dissatisfied with any elements of the service.

Well-led

Outstanding

Updated 14 June 2018

The service has improved to Outstanding.

The vision and values of the service were understood by staff and embedded in the way staff delivered care. The management team and staff had developed a strong and visible person centred culture and all staff we spoke with were fully supportive of this. Staff told us the management team were very knowledgeable, inspired a caring approach and led by example.

Management was pro-active in sourcing ideas by undertaking their own research to further benefit the people living at the service. Without exception relatives and staff could not speak highly enough of the management team and the service people received. The systems and processes in place to quality check all areas of the service were detailed and robust. These allowed staff and management to deliver support to people le in a way that stood out and brought a level of excellence to the service.