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Inshore Support Limited - 10 Beeches Road Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 18 October 2019

About the service

Inshore Support LTD – 10 Beeches Road is a residential care home providing accommodation for people who require nursing or personal care and have a diagnosis of a learning disabilities and autistic spectrum disorder. The service can support up to two people and two people were receiving support at the time of the 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 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 management team at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people.

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

Audits were not robust enough to demonstrate safety was effectively managed. There was no registered manager in post, the deputy manager was overseeing the day to day running of the home. Staff felt well supported and part of a team. Staff worked in a person-centred way.

Relatives felt their loved ones were safe. Some staff told us they did not always follow care plans. Information relating to people’s allergies was not reflected in all documentation. Medicines were not always dispensed in line with best practice guidelines. Staff understood safeguarding and how to keep people safe.

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.

Peoples dignity was not always maintained. People were encouraged to maintain their independence. Relatives felt their loved ones were treated with kindness. People information was stored securely, and confidentiality was maintained.

Peoples communication needs were met, and information was provided to people in different formats. Peoples personal preferences were identified in their care plans. People were supported to maintain relationships.

The service used some restrictive intervention practices as a last resort, in a person-centred way, in line with positive behaviour support principles.

The service applied the principles and values of Registering the Right Support and other best practice guidance. The outcomes for people using the service reflected the principles and values of Registering the Right Support and focused on them having as many opportunities as possible. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 29 March 2017)

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to failure to meet a condition of registration and goo

Inspection areas

Safe

Requires improvement

Updated 18 October 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 18 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 18 October 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Good

Updated 18 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 18 October 2019

The service was not always well-led.

Details are in our well-Led findings below.