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Inspection Summary


Overall summary & rating

Good

Updated 22 November 2019

About the service

Cherriton provides accommodation and support for six adults who have learning disabilities. It is run by MacIntyre Care who provide support services to people across the country. There were five people living there at the time of the inspection.

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 settings that provide care for people with or who might have mental health problems, learning 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 of the potential drivers of improvement.

As part of thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people. The service used some medication to be given when needed; this was monitored carefully and administered in a person-centred way, in line with positive behaviour support principles.

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 applied the principles and values of Registering the Right Support and other best practice guidance. This helped ensure that people who used the service lived as full a life as possible and achieved the best possible outcomes that include control, choice and independence.

The building design fitted into the residential area and with 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 did not wear 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 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.

Most people living at Cherriton were unable to vocalise their opinions of the support they received. They required a lot of support for personal care. However, people's support focused on them having as many opportunities as possible to enjoy positive experiences. Staff were motivated and worked in a positive way to develop trusting relationships. The service enabled people to pursue leisure interests and maintain relationships with families and friends.

There were enough staff employed to ensure people were supported. We observed staff engaged in positive support which was warm and caring. Staff we spoke with told they were supported well and received training and supervision.

Support plans identified the needs of people and plans contained enough person-centred information to identify and meet the preferences of people receiving care.

People had access to healthcare and the registered manager worked closely with other agencies to ensure successful outcomes were achieved.

Systems were in place to ensure the safety and wellbeing of people. These included systems to protect people from the risk of abuse and receive their medicines safely.

Rating at last inspection

The last rating for this service was Good (last report published 14 April 2017).

Why we inspected

This was a p

Inspection areas

Safe

Good

Updated 22 November 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 22 November 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 22 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 22 November 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 22 November 2019

The service was well-led.

Details are in our well-led findings below.