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New Boundaries Group - 331 Fakenham Road Outstanding

Inspection Summary

Overall summary & rating


Updated 1 October 2019

About the service

331 Fakenham road is a residential care service providing personal and nursing care to five people under 65. The five people living at the service had complex needs and histories and had learning disabilities, autism and mental health needs. One person had non-verbal communication.

Fakenham road accommodates five people in one adapted building. Each had their own room, ensuite accommodation and shared communal space. The house was in the centre of a busy community and people regularly accessed community services.

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.

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

The service was exceptionally well managed. Staff worked inclusively to provide care and support to people around their individual needs. All staff were involved in decision making and able to influence the service provision. We spoke with the registered manager after the inspection as they were on leave on the day. They were passionate. They told us how they developed and supported staff to work well individually and as part of a team. The registered manager told us about people’s individual progress which was reflected in their care plans and support plans and families spoke very highly of the support provided. People felt safe and secure in the knowledge that staff understood their needs.

We observed staff practice which helped to confirm that they understood people extremely well and were able to provide consistent, supportive care which reduced people’s anxieties and helped them engage in everyday tasks. Staff demonstrated good interpersonal skills in their communication with people. Staff were cheerful and showed tolerance and patience. They supported people to make their own decisions and gave people the tools they needed to overcome the difficulties they faced.

Staff provided people opportunities to engage in regular activity which enhanced their mental and physical health. Staff worked in a holistic way to ensure people had the best opportunity to success and they took into account people’s histories which for some had been restrictive. Negative trends of behaviour were recognised, and staff worked with individuals, families and health care professionals to create positive opportunities for self-growth, learning and development.

People’s health care needs were very well managed, and the staff had been successful in reducing people’s risk factors which were having a detrimental effect on the mental and physical health. People were encouraged to live well, and staff worked creatively to help people achieve this.

The service was exceptionally clean and well organised to ensure the risk of cross infection was reduced and people took a sense of pride in their environment and contributed to its upkeep. Staff supported people to develop new skills and take an active part in meal preparation, cooking and other essential life skills.

Risks to people’s safety were reduced because staff were carefully selected and well supported to ensure they had the key competencies and skills to deliver safe care and carry out every aspect of the regulated activity well. For example, staff administered medicines to people. There were robust processes in place to ensure this was done properly and staff had ongoing training and support to ensure they were comfortable doing it. All staff were able to tell us about people’s needs and how their training and life experience had helped the

Inspection areas



Updated 1 October 2019

The service was safe.

Details are in our safe findings below.



Updated 1 October 2019

The service was effective.

Details are in our effective findings below.



Updated 1 October 2019

The service was caring.

Details are in our caring findings below.



Updated 1 October 2019

The service was exceptionally responsive.

Details are in our responsive findings below.



Updated 1 October 2019

The service was exceptionally well-led.

Details are in our well-Led findings below.