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Inspection Summary


Overall summary & rating

Good

Updated 7 May 2021

About the service

Solden Hill House is a residential care home for adults with learning disabilities, providing personal and support for up to 21 people in two separate buildings on the Solden Hill House site. The two homes were called Apps House and Solden Hill House. There were 21 people using the service at the time of the inspection. Solden Hill House are also registered to provide personal care to people who live in a supported living service on the site. The two supported living services are called Giles House and The Lodges. The service was supporting 9 people at the time of the inspection.

People’s experience of using this service and what we found

Staff received safeguarding training and understood their responsibilities. People were supported to take positive risks. The service had enough staff and deployed them flexibly. Medicines were administered safely. We were assured measures were in place to prevent the spread of infection to both staff and people. Following incidents, the provider had a robust system to review information.

Staff were trained and skilled to support people effectively. People were supported to maintain a well-balanced diet. Staff worked with each other collaboratively and external organisations. People had access to on-going health care services. People were encouraged to have active input into the development of their environment, which was adapted to meet people's needs and promote person centred care.

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.

Staff showed kindness and respect towards people living in the service. People's views were valued, and their feedback was sought. People's dignity and privacy was respected, and people were encouraged

to have as much independence as possible.

People received personalised care which was responsive to their needs. People had care and support records in place. Relatives and staff were listened to and felt they could raise any concerns they had with the registered or general manager. People with diverse cultural needs were supported to ensure equality within the service.

There was a positive, open culture in the service, where staff were empowered to deliver a high quality of care and support to people. The registered and general manager understood their responsibilities

and closely monitored quality. People, staff and relatives were encouraged to engage in the service and their care. The registered and general manager continually looked for ways they could improve the service and ensure sustainability. The service worked in partnership with other agencies.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was developed prior to the values that underpin Right support, right care, right culture was published and therefore, were not meeting the best practice guidance relating to the number of people being supported in both Solden Hill House and Apps House. The services were larger than a domestic style property, however, there was no negative impact on people living there.

The service was also in a rural setting with limited access to an immediate community. However, people were supported to access the community on a regular basis by multiple methods of transport, this included people having their own bus pass. Staff supported people to seek and obtain work opportunities and maintain personal relationships.

The service was able to demonstrate how they were underpinning oth

Inspection areas

Safe

Good

Updated 7 May 2021

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 7 May 2021

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 7 May 2021

The service was good.

Details are in our good findings below.

Responsive

Good

Updated 7 May 2021

The service was responsive.

Details in our in responsive findings below.

Well-led

Good

Updated 7 May 2021

The service was well-led.

Details are in our well-led findings below.