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Inspection Summary


Overall summary & rating

Outstanding

Updated 10 August 2018

Blakesley is a 'care home' for people with complex learning disabilities. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

The model of care is based on the Rudolf Steiner principles of providing a spiritually oriented community, supporting people with learning disabilities to continually develop, regardless of disability. Blakesley accommodates up to six people in an adapted two storey building in the centre of a village.

At the time of the inspection there were six people living there. The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

We had previously inspected this service in June 2016, at that inspection the service was rated ‘Good’. This inspection took place on the 12, 14 and 15 June 2018. The service had remained ‘Good’ and we found that there were areas which had continued to be improved and have rated the service overall as ‘Outstanding.’

The service demonstrated an excellent commitment to providing outstanding care which put people at the heart of everything. The provider and registered manager led and inspired the staff to deliver person- centred care which had achieved consistently outstanding outcomes for people.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staff continuously went the ‘extra mile’ to ensure that people lived as fulfilled and enriched lives as possible. They respected people’s individuality and enabled people to express their wishes and make choices for themselves. Positive therapeutic relationships had been developed and staff were proud of the support that they had provided to people and the positive outcomes they had observed.

People who demonstrated behaviour that may challenge services received care that was based upon best practice guidelines that met their individual needs and successfully reduced incidents within the home and community.

Staff demonstrated the provider's values of offering person - centred care that respected people as individuals in all their interactions with people. People, their relatives and the professionals involved in people's care consistently told us that the service provided ‘exceptional care’ to people. People could be assured that they would be supported by sufficient numbers of staff. Records showed that people received their care in the way they needed to maintain their safety.

People were supported to use communication aids and information was provided to people in an accessible format to enable them to make decisions about their care and support.

People's health and well-being was monitored by staff and they were supported to access health professionals in a timely manner when they needed to. People were supported to have sufficient amounts to eat and drink to maintain a balanced diet. People experienced caring relationships with staff and good interaction was evident.

Staff understood their responsibilities to safeguard people and knew how to respond if they had any concerns. Care plans contained risk assessments which gave detailed instructions to staff as to how to mitigate risks; these enabled and empowered people to live as independent a life as possible safely.

There was a very effective system of quality assurance led by the provider and registered manager that ensured people consistently received exceptional care and support. The people living at Blakesley had an enhanced sense of well-being and quali

Inspection areas

Safe

Good

Updated 10 August 2018

The service remains good.

Effective

Good

Updated 10 August 2018

The service remains good.

Caring

Good

Updated 10 August 2018

The service remains good.

Responsive

Outstanding

Updated 10 August 2018

The service was exceptionally responsive.

People and their relatives were very involved in decisions regarding their care and support needs. The care plans were highly personalised to reflect people's individual requirements.

Staff had an excellent understanding of people's values and beliefs on how they wanted to receive their care and support to be delivered.

The individual and social activities provided at the service consistently met people's needs and preferences.

People using the service and families were actively encouraged to give their views and raise any concerns or complaints. People's feedback was valued.

Well-led

Outstanding

Updated 10 August 2018

The service was exceptionally well-led.

There was a culture of openness and transparency; the registered manager led by example and inspired the staff to provide the best possible person- centred care and experience for people and their families.

The registered manager and provider put people at the heart of everything and were proactive in seeking people’s views and experience of their care and support; this enabled them to continually look at ways to improve the service and enhance people’s life experience.

People could be assured that the quality assurance systems in place were effective and any shortfalls found were quickly addressed; there was a constant strive to ensure that standards were maintained.