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Eastbourne & District Mencap - Arundel Road Good

Inspection Summary


Overall summary & rating

Good

Updated 5 December 2019

About this service

Eastbourne & District Mencap - Arundel Road is a residential care home that accommodates up to nine people with learning disabilities, including autism, and associated physical, sensory disabilities and/or dementia. At the time of the inspection there were eight people living at 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 received 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

The outcomes for people using the service reflected the principles of Registering the Right Support by promoting choice, control, independence and inclusion. People’s support focussed on them having opportunities to maintain relationships, engage in activities of their choice and maintain their independence.

People were unable to tell us if they felt safe but we observed positive interaction between staff and people living in the home. Staff had completed safeguarding training and explained how they would protect people from harm and what action they would take if they had any concerns. Relatives were confident their family members were safe, and they received the care and support they needed.

An ongoing training programme helped staff develop the skills and knowledge to provide appropriate support and staff clearly knew people very well. The aim of the service was to support people to be as independent as possible and make choices about all aspects of the support they received. This included the activities they took part in, where they spent their time and the food they ate.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this.

The registered manager encouraged people, relatives, staff and professionals to discuss and offer feedback about the services provided. An effective quality assurance and monitoring system was used to identify areas where improvements were needed and action was taken to address them.

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 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 a 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. The home did not use physical restraint but, supported people to sit safely in wheelchairs using belts, which had been agreed with the local authority.

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

Rating at last inspection and update

At the last inspection the rating was Good (published on 18 March 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we

Inspection areas

Safe

Good

Updated 5 December 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 5 December 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 5 December 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 5 December 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 5 December 2019

The service was well-led.

Details are in our well-Led findings below.