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Inspection Summary


Overall summary & rating

Good

Updated 18 August 2017

Delbrook House is a small service which provides personal care and support for up to six people who are living with low level needs associated with learning difficulties. The building consists of two adjoining houses and rooms are spacious with high ceilings. Bedrooms are for single occupancy and each person has their own en-suite facilities of a shower, toilet and sink or bath/shower rooms identified for their sole use. Communal rooms consist of a spacious sitting room with a dining area at one end and another quiet room.

At the last inspection, the service was rated ‘Good’. At this inspection we found the service remained ‘Good’ overall, although we judged the responsive domain ‘Outstanding’.

We found people were supported to live their lives and access community facilities in such a way that it had impacted very positively on their emotional and social wellbeing. They had an excellent quality of life and attended functions, events that interested them and had memorable holidays funded by the provider. Staff supported people to nurture family relationships and friendships, and assisted them with important lifestyle decisions.

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 practice. People were complimentary about the staff and told us they looked after them well and respected their privacy and dignity. We saw people had weekly plans of activities in the service and in the community.

Assessments and care plans were very person-centred and evidenced that people had been involved as much as possible and included in decisions about their life. The care plans were detailed and gave very good information to staff in how to support people in the way they preferred. The local authority contracts and commissioning team had recently visited the service and told us they were ‘very impressed’ with the care plans and the level of detail included in them.

We found there were sufficient members of staff on duty to meet people’s needs. Staff had been recruited safely with employment checks carried out before they started work. Staff had access to a range of training and received supervision and support on a daily basis. Those staff spoken with told us they felt confident supporting people and meeting their assessed needs.

Staff had received training in how to keep people safe from the risk of harm and abuse; it was clear they knew what to do if they had concerns or if they witnessed abuse or poor practice. Staff completed risk assessments to help minimise risk whilst still enabling people to have control over their lives.

Medication was well managed and people received their medicines as prescribed.

The environment was clean and tidy. Equipment used in the service was maintained and any repairs completed in a timely way.

People’s health and nutritional needs were met. Staff supported people to attend appointments with health professionals in the community. The menus provided people with a well-balanced and nutritious diet, whilst still allowing for treats.

There was a complaints procedure in an easy read format and people told us they felt able to raise concerns when needed and these would be addressed.

The registered manager was very passionate about providing an inclusive atmosphere for people who used the service. They encouraged people to express their views on a daily basis about the running of the service.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 18 August 2017

The service remains Good

Effective

Good

Updated 18 August 2017

The service remains Good

Caring

Good

Updated 18 August 2017

The service remains Good

Responsive

Outstanding

Updated 18 August 2017

The service is very responsive and we have judged this key question 'Outstanding'.

People had assessments of their needs completed and care plans developed which were very person-centred. They were detailed and included exactly how people wished to be supported and involved in decisions about their lives.

People had an excellent quality of life and could access a range of local facilities to help them feel part of the community.

Staff supported people to develop their interests and hobbies and arranged memorable events and holidays for them, which were funded by the provider. People described to us the positive impact this had on their life.

Staff had responded very well to people�s lifestyle choices; they respected, encouraged and supported their need to develop friendships and maintain contacts with their family and friends.

The service had a complaints procedure in an easy read format and people felt able to raise issues.

Well-led

Good

Updated 18 August 2017

The service remains Good