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Inspection Summary


Overall summary & rating

Outstanding

Updated 11 March 2020

About the service

The Old Hall is registered to provide accommodation and personal care for up to 13 people who have a learning disability or autistic spectrum disorder. The home is located in the village of Fiskerton in Lincolnshire. At the time of inspection there were 13 people living in the home.

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 service was a large home, bigger than most domestic style properties. This is larger than current best practice guidance. However. the size of the home having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

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

People were protected from harm. Staff received safeguarding training and understood their responsibilities. People were supported to take positive risks. There were detailed risk assessments on how to support people and mitigate risk of harm. The home had enough staff and deployed them to meet the needs of the people. Medicines were monitored and administered safely. Staff followed infection control procedures and used personal protective equipment to prevent the spread of infection. Following incidents, the registered provider had a robust system to monitor trends and had acted to reduce reoccurrence.

People had their needs assessed prior to admission. There was a detailed support programme to ensure people would be supported to integrate in to the service. Staff were trained and skilled to support people effectively. People were supported to maintain a well-balanced diet. Staff worked collaboratively with internal teams and external organisations to provide people with the best outcomes. People had access to on-going health care services. People were encouraged to have active input into the development of their environment, which was adapted to meet people’s needs and promote person centred care. Staff promoted people's rights to make their own decisions wherever possible and respected the choices they made. 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.

Staff showed kindness and respect towards people living in the home. People’s views were valued and their feedback was continually sought. People’s dignity and privacy was respected, and people were encouraged to have as much independence as possible. People had 'a circle of support' which was unique to them. A circle of support involved core team members, relatives and health care professionals.

People received personalised care which was responsive to their needs. People had care and support records in place and people had an input for what was included. Relatives were listened to and felt they could raise any concerns they had with the registered manager. People with diverse cultural needs were supported to ensure equality within the service.

There was a positive, open culture in the home and staff were empowered to deliver a high quality of care and support to people. The registered provider and the r

Inspection areas

Safe

Good

Updated 11 March 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 11 March 2020

The service was effective.

Details are in our effective findings below.

Caring

Outstanding

Updated 11 March 2020

The service was exceptionally caring.

Details are in our caring findings below.

Responsive

Outstanding

Updated 11 March 2020

The service was exceptionally responsive.

Details are in our responsive findings below.

Well-led

Outstanding

Updated 11 March 2020

The service was well-led.

Details are in our well-Led findings below.