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Inspection Summary


Overall summary & rating

Good

Updated 12 October 2019

About the service

The Meadows is a care home providing short stay and respite care for adults with a learning disability or /and autism. Some people who used the service also had a physical disability. The service was registered to accommodate a maximum of 12 people, and eight people were living at the home at the time of our inspection.

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 a domestic style property and was adjacent to other services that used space in the building as offices, these with separate dedicated entrances. These services were also managed by the provider, for example shared care services. The Meadows is registered to accommodate 12 people. 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 offering a range of high-quality facilities, as well as extensive internal and external space which enhanced people’s experiences. In addition, the service did not offer a permanent residence for people, only short breaks which some people likened to stopping in a hotel for a holiday. Support staff did not wear anything that suggested they were care staff when coming and going with people and transport used by the service was not identifiable as anything other than family transport.

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

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 the 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 positive behaviour support principles to support people in the least restrictive way. No restrictive intervention practices were used.

People and relatives told us the service was safe and staff were very aware of how to minimise risks to people and promote their safety, without compromising their freedom. Staff knew how to work with people to identify risks and change their approach to minimise these.

People were supported by care staff that were caring, showed compassion and expressed genuine interest about the people they cared for. People received person centred care and support based on their individual needs and preferences. Staff were knowledgeable about people, their needs and preferences and used this to develop a good relationship with the people who stayed at the Meadows.

People were supported by care staff who had the skills and knowledge to meet their needs. Staff understood, felt confident and well supported in their role. People's health was supported as staff worked with other health care providers when needed to support people’s healthcare needs.

People were supported to have maximum choice and control of their lives and staff understood they should support them in the least restrictive way possible; the policies and systems in t

Inspection areas

Safe

Good

Updated 12 October 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 12 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 12 October 2019

The service was exceptionally caring.

Details are in our caring findings below.

Responsive

Good

Updated 12 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 12 October 2019

The service was well-led.

Details are in our well-Led findings below.