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Inspection Summary


Overall summary & rating

Outstanding

Updated 9 April 2020

The Hawthorns is a residential care home providing personal care for up to nine people who have a learning disability or autistic spectrum disorder. At the time of our inspection there were nine 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. It was registered for the support of up to nine people. Nine people were using the service. This is larger than current best practice guidance. However, the size of the service 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

The service was exceptionally well-led by a team who were committed to providing an exceptionally high standard of person-centred care. This was confirmed by relatives, healthcare and social care professionals and staff. The provider and management team promoted an open and honest ethos and learned from mistakes. Staff were very dedicated and motivated, they were well trained and there were effective systems to ensure staff remained competent in their role. Staff ensured people were at the heart of the service. The staff and management team were creative, committed and determined to support people to live independent lives and challenge the barriers around supporting people with learning disabilities and autism. People's views about the service were valued and there were effective procedures in place to continually monitor and improve the quality of service people received.

People received a service which was exceptionally responsive to their needs and preferences. The registered manager and staff were highly responsive and skilled at helping people achieve positive outcomes, building confidence, independence and helping develop life skills. Staff went above and beyond to ensure people's needs and lifestyle choices were respected. Technology developed by the provider was embedded in service delivery and supported staff to provide people with genuinely person-centred care. The running of the service centred around the experience of people as individuals and recognised the value of their expertise in how their own care should be delivered and they were fully involved in planning and reviewing the care and support they received. People's communication needs were assessed and understood by staff. People were provided with information in a format which met their needs. Relatives felt confident that any concerns would be taken seriously, and action would be taken to address them

The provider had systems in place to safeguard people from abuse. Staff were aware of each person's safety and how to minimise risks for them. Medicines were managed safely. Accidents and incidents were monitored to identify and address any patterns or trends to reduce the risk of reoccurrence. Systems were in place to recruit staff safely. People were supported with good nutrition and could access appropriate healthcare services.

People had personalised rooms. They were supported to have maximum choice and control of their lives and staff supported them in the

Inspection areas

Safe

Good

Updated 9 April 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 9 April 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 9 April 2020

The service was caring.

Details are in our caring findings below.

Responsive

Outstanding

Updated 9 April 2020

The service was extremely responsive.

Details are in our responsive findings below.

Well-led

Outstanding

Updated 9 April 2020

The service was extremely well-led.

Details are in our well-led findings below.