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Inspection Summary

Overall summary & rating


Updated 2 May 2019

About the service: Kathleen House provides accommodation and personal care for up to 15 people with a learning disabilities or autistic spectrum disorder and dementia as part of this condition. The service offers long term and respite care.

People’s experience of using this service:

People looked comfortable and relaxed with staff and their relatives told us they were safe. Staff told us how they should keep people safe and minimise risks to their safety.

People were supported by staff we saw were caring and expressed interest in people who lived at Kathleen House. People received effective person-centred care and support based on their individual needs and preferences. Staff were knowledgeable about people; their needs and preferences and we saw they had a good relationship with the people.

People were supported by care staff who had a range of skills and knowledge to meet their needs. Staff understood, felt confident and well supported in their role, and they said they were supported through formal staff supervision. People's health was supported as staff worked with other health care providers to ensure people’s health needs were met.

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

People's care plans reflected people’s needs and preferences and staff and the registered manager could explain any recent changes to people’s care. Where there was changes staff knew how they should provide care to ensure people were safe, their needs were met, and preferences respected.

People’s representatives knew how to complain. Relatives and staff knew how to identify and respond if people were unhappy with the service. People we saw could communicate how they felt to staff, this assisted by staff understanding their individual communication needs. Relatives told us when they had raised concerns these had been addressed appropriately.

People, relatives and staff gave a positive picture as to the quality of care people received and said the registered manager was approachable. We saw staff listened to people and relatives said staff also listened to what they said and involved them by asking their opinions on their loved ones care.

Quality monitoring systems were in place although recording of the outcomes of audit findings could be better recorded so it was accessible in one service development tool. The provider was able to demonstrate they were responding to findings from the quality monitoring system so it was effective.

Rating at last inspection: The rating for the service at our last inspection was ‘requires improvement’ (Published on 22 June 2017).

Why we inspected: This was a planned comprehensive inspection that was due based on our scheduling targets.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

For more details, please see the full report which is on the CQC website at

Inspection areas



Updated 2 May 2019

The service was safe

Details are in our Safe findings below.



Updated 2 May 2019

The service was effective

Details are in our Effective findings below.



Updated 2 May 2019

The service was caring

Details are in our Caring findings below.



Updated 2 May 2019

The service was responsive

Details are in our Responsive findings below.



Updated 2 May 2019

The service was well-led

Details are in our Well - led findings below.