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Inspection Summary


Overall summary & rating

Good

Updated 20 August 2019

About the service

Fairleigh House is a residential care home providing personal care for six people with autism. The home is a large detached building. Five people had their own room and shared the bathrooms, kitchen and two lounges. One person lived in their own independent flat on the lower ground floor of the house.

Fairleigh House is registered to be able to support for up to seven people. The registered manager told us there were no plans to use the seventh room at the home. The six people currently living at Fairleigh House had lived together for many years and it was felt a new person moving was not in their best interests.

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

People were extremely well supported by a stable, dedicated staff team who knew people, their needs and how they communicated very well. People were observed to be very comfortable with members of staff.

Clear, detailed person-centred plans were in place which identified people’s health and wellbeing support needs and how staff should meet these needs. Risks had been identified and guidance provided in how to manage these risks.

Where people may have behaviour described as challenging, clear guidance was in place in how staff should distract and support people to reduce their anxieties and make sure they were safe. These clearly identified what physical restraint could be used and that it was only to be used as a last resort.

People had a full itinerary of weekly activities, including walking, canal trips and drives in their own transport. People were also involved and active within their local community, using local shops and leisure facilities. People were encouraged and supported to complete the tasks they were able to do.

The number of incidents of challenging behaviour was low at the service due to the regular planned activities and routines and stable staff team who could identify the signs a person was becoming anxious and were able to distract them to de-escalate the situation.

There were enough staff on duty to meet people’s needs. Staff were safely recruited and well trained. Staff were very positive about the induction, training and support they received. The provider encouraged staff development and progression.

Staff were recruited with the activities people did in mind. Staff were provided with walking boots and weather proof clothing, so they could support people to go out in all weathers.

People received their medicines as prescribed. Information was in place to identify how people would non-verbally communicate if they needed an over the counter medicine, such as pain relief.

A quality assurance system was in place to monitor the service. Monthly audits and safety checks were completed.

People were supported to maintain their health and nutrition. Fairleigh House had access to the providers Central Support Team (CST) for specialist advice on behavioural support and speech and language.

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.

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 contr

Inspection areas

Safe

Good

Updated 20 August 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 20 August 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 20 August 2019

The service was caring.

Details are in our caring findings below.

Responsive

Outstanding

Updated 20 August 2019

The service was exceptionally responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 20 August 2019

The service was well-led.

Details are in our well-Led findings below.