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We are carrying out a review of quality at Natalie House. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

Updated 6 February 2020

About the service

Natalie House is a residential care home providing personal care for five people living with a learning disability and/or autism at the time of the inspection. The service is registered to support up to five people.

People using the service lived in a large bungalow, with shared kitchen and bathroom facilities.

Services for people with learning disabilities and/or autism

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.

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

The provider’s systems to monitor the quality and safety of the service had not always been effective at identifying where the registered provider needed to make some improvements. For example, key worker reviews had not been completed in line with the provider’s processes.

People were safe living at the home. Staff knew how to protect people from harm and reduce the risk of accidents and incidents. At the time of our site visit, we found there were enough numbers of suitably recruited staff on duty to meet people’s needs to keep people safe. People were supported by staff who knew their needs well. Staff supported people safely with their medicines. Staff understood how to prevent and control the spread of infection.

People who had recently moved into the home had been assessed before being accepted to the service to ensure the provider could meet their needs. Assessments addressed the person’s physical and health needs, their cultural needs and what was important to them. Staff had received training which helped them to deliver personalised care. Our observations showed people looked happy.

There was a choice of foods available and where appropriate, people received additional support with their dietary needs. Staff worked with external health and social care professionals and ensured people were supported to access these services when they needed them to maintain their health and wellbeing.

People were supported to have maximum choice, 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. The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

Staff were knowledgeable about people’s care and support needs. Relatives and professionals told us how kind and caring the staff were. Staff enjoyed their work and had developed a good rapport with the people they supported. Staff encouraged people’s independence and protected their privacy.

Most of the people using the service at the time of the inspection could not tell us about their experiences. Whilst on site, people looked comfortable with the way they were being supported and we saw positive interactions between people and staff. Professionals and relatives, we spoke with gave us positive feedback on the service and the way the staff supported their family members. Staff provided care to people in line with their individ

Inspection areas

Safe

Good

Updated 6 February 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 6 February 2020

The service was effective.

Details are in our safe findings below.

Caring

Good

Updated 6 February 2020

The service was caring.

Details are in our safe findings below.

Responsive

Good

Updated 6 February 2020

The service was responsive.

Details are in our safe findings below.

Well-led

Requires improvement

Updated 6 February 2020

The service was not always well-led.

Details are in our well-Led findings below.