You are here

Inspection Summary


Overall summary & rating

Good

Updated 10 October 2019

About the service

Kazdin is a residential care home providing personal care and accommodation for a maximum of three people with a learning disability and/or autism. At the time of the inspection three people were living at the service. Two people were supported in their own self-contained flat/annexe and one person had a bedroom and en-suite facility in the main part of the house.

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.

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 the settings that provide care for people who might have mental health problems, learnings 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 the potential drivers for improvement.

As part of the thematic review, we carried out a survey with the acting manager at the inspection. They considered whether the service used any restrictive intervention practices (restraint, seclusion, and segregation) when supporting people.

The service used some restrictive intervention practices as a last resort, in a person-centred way, in line with positive behaviour support principles.

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

People using the service benefitted from kind, caring and committed staff who kept them safe and promoted their independence whenever possible.

People were placed at the heart of the service and staff worked hard to achieve the best outcomes for people. Care was personalised and took into account people’s preferences and choice.

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 control, choice and independence.

People’s care was delivered safely. Staff were consistent, employed in sufficient numbers and had the skills and training to care for people safely.

People’s risks were understood and managed well. People’s rights and independence were respected and promoted. Management and staff understood their role and responsibilities with regard to the Mental Capacity Act (2005). People’s consent was sought before care was provided. When people were unable to consent and make decisions for themselves appropriate processes were followed. People were protected from discrimination and abuse because staff understood how to safeguard them.

People lived in a home that was well-maintained, comfortable and designed to meet their needs. Much consideration had been given to making sure people had opportunities to occupy their time in a meaningful way. Staff recognised the importance of family and friends and helped people maintain these important contacts.

Management and staff had developed good relationships with health and social care professionals and liaised with these services to help ensure people’s full range of care needs were met.

Governance systems ensured improvements were highlighted so action could be taken

Inspection areas

Safe

Good

Updated 10 October 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 10 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 10 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 10 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 10 October 2019

The service was well-led.

Details are in our well-Led findings below.