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Inspection Summary


Overall summary & rating

Outstanding

Updated 22 April 2020

About the service:

Kirk House is a care home registered to provide personal care to young adults who live with a physical/sensory disability, learning disability and/or autism. Kirk House is a purpose built home over two floors which can accommodate eleven people. At the time of the inspection there were nine people living at the service. People had access to their own private rooms. The building was being upgraded to enable everyone to have access to a private lounge, bedroom and bathroom.

The service had been developed and designed before the principles and values that underpin Registering the Right Support had been published. This guidance aims to ensure 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. The service was a large home, bigger than most domestic style properties. This is larger than current best practice guidance. People using the service received planned and co-ordinated bespoke person-centred support that was appropriate and inclusive for them.

People's experience of using this service:

People received personalised care that was exceptionally responsive to their needs. Some people had never lived in a shared care setting and a relative told us, "This was an extraordinary achievement for [family member]." There was strong sense of leadership in the service that was open and inclusive. People raised funds for local charities that supported people living in isolation.

The registered persons had focused on achieving exceptional outcomes for people and their staff. Relatives, professionals and our observations confirmed staff provided exceptional care. A relative summed this up by saying, "We remain delighted at the level of care my [relative] receives at Kirk House."

We found robust systems, processes and practices were followed and sustained effectively to safeguard people from situations in which they may experience harm. Risks to people's safety had been thoroughly assessed, monitored and managed so they were supported to stay safe while their freedom was respected. People were supported creatively to live healthier lives by having on-going support to access suitable healthcare services.

Care staff understood the importance of promoting equality and diversity by supporting people to make choices about their lives. People who used the service were treated with compassion and kindness and their privacy and dignity respected.

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 live data recording systems in the service supported this practice. People and their representatives had been involved in agreeing their care plans and participated in reviews of the care and support provided to them. One person and family members confirmed staff always asked for consent when carrying out care and support tasks. Confidential information was kept private.

Safe recruitment practices were followed. People were supported by a small team of staff that fully understood their needs. Medicine records reviewed confirmed people received these safely. People lived in an environment that was clean and free from the risk of the spread of infection.

Staff received a thorough induction process and had completed all the training required to support people safely. Staff received regular supervision and annual appraisals and were able to reflect on the care and support they delivered. Staff were able to access further training and development opportunities in addition to their mandatory training. Staff were given the support and opportunities to progress within the organisation. People and relatives benefited from a robust data management recording framework that helped care staff to under

Inspection areas

Safe

Good

Updated 22 April 2020

The service was safe.

Details are in our Safe findings below.

Effective

Good

Updated 22 April 2020

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 22 April 2020

The service was caring.

Details are in our Caring findings below.

Responsive

Outstanding

Updated 22 April 2020

The service was exceptionally responsive.

Details are in our Responsive findings below.

Well-led

Outstanding

Updated 22 April 2020

The service was exceptionally well led.

Details are in our Well Led findings below.