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Inspection Summary


Overall summary & rating

Good

Updated 5 September 2019

About the service

Blackwells is residential care home providing personal care for up to seven people who have learning disabilities, aged up to 65 and over 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 service was a large home, bigger than most domestic style properties. It was registered for the support of up to seven people. Seven people were using the service. 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 fitting into the residential area and the 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 were also discouraged from wearing 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.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

People's individual risks had been assessed and action taken to mitigate them to ensure people stayed safe.

Staff administered people's medicines safely. Staff provided people with support to have the medicines they needed to remain well, and people's medicines were regularly reviewed and checked.

People were supported to enjoy a wide range of activities which reflected their own personal interests and enhanced their lives.

People, their relatives, staff and other health and social care professionals worked together to assess people's needs and plan their care. This was done so people's support and preferences would be met, and they would enjoy an enhanced sense of well-being.

People were supported by staff to make decisions about their care and support. Staff used their knowledge of people's preferred ways of communicating, to assist people to make their own choices.

Staff promoted people's right to independence, dignity and respect.

People, their relatives and staff were encouraged to make any suggestions for developing the care provided further.

The provider and registered manager checked the quality of care provided through quality audits.

Rating at last inspection

The last rating for this service was Good [published in 10 February 2017]

Why we inspected

This was a planned inspection based on the previous rating.

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

Inspection areas

Safe

Good

Updated 5 September 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 5 September 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 5 September 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 5 September 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 5 September 2019

The service was well-led.

Details are in our well-Led findings below.