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SENSE The Old Coach House Good

Inspection Summary


Overall summary & rating

Good

Updated 22 February 2020

About the service

SENSE The Old Coach House is registered to provide personal care and accommodation to a maximum of five people. People have a visual and/or hearing impairment, learning disability, and/or autism. At the time of the inspection five people lived at the home.

The service applied the principles and values that underpin Registering the Right Support and other best practice guidance. This ensured that people who used 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. People using the service received planned and coordinated person-centred support that was appropriate and is inclusive for them.

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

The provider had quality assurance systems in place and action had been taken to make some improvements. We identified some issues that needed addressing that had not been identified by managerial observations or audits.

Relatives felt their family members were safe. People were supported by staff who knew how to protect them from avoidable harm. Generally, risks to people's health and well-being had been assessed and monitored to promote people’s safety. People received their medication as prescribed. Staff had been recruited safely and there were enough staff to meet people's needs and allow flexibility to people’s daily routines. The home was visibly clean and observed infection control practices.

Staff had received induction training. The training deemed as mandatory by the provider, had been received by staff and refreshed in line with the provider's timeframes. People were supported by staff who knew them and their needs well. People were encouraged, where possible, to make decisions about their care and their relatives were involved too.

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.

Staff encouraged people to maintain a healthy diet. Referrals were made to healthcare professionals where required to ensure people's health needs were met.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service achieve the best possible outcomes, including independence and inclusion. People support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

Relatives confirmed staff were kind and friendly and treated people with dignity and respect. People were encouraged to develop and maintain their independence skills. Visitors were greeted politely and were made to feel welcome.

Reviews of people’s care and support needs were undertaken regularly. Relatives were included in the review processes to ensure all their family members needs were known and addressed. Relatives felt comfortable to raise any complaints they had with the staff or registered manager. Relatives confirmed they were always kept up to date with important information relating to their family member and could contact the registered manager at any time.

Relatives told us the service was well-led and spoke positively of the manager and staff. Provider feedback processes had been used to gather information about the views of people and relatives about the service provision. The registered manager understood their regulatory responsibilities and their requirement to provide us (CQC) with notifications about important events and incidents that occurred whilst the service was delivering care.

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 02 August 2017).

Why we inspected

This was a planned insp

Inspection areas

Safe

Good

Updated 22 February 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 22 February 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 22 February 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 22 February 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 22 February 2020

The service was not always well-led.

Details are in our well-led findings below.