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Inspection Summary


Overall summary & rating

Good

Updated 10 April 2020

About the service

Talbot Woods Lodge is registered to accommodate up to 15 people and provides care and support for people with learning disabilities. The service is split over three floors which were accessible by stairs. There were 14 people using the service at time of 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 registered to provide support to up to 15 people and there were 14 people using the service at the time of our inspection. The service is larger than recommended by best practice guidance. However, we have rated this service good because 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

The service met the requirements of the Mental Capacity Act (MCA). MCA assessments had been carried out for people in relation to their care needs. However, the paperwork was not clear about the specific decision being made.

We have made a recommendation about the MCA in practice.

People told us they were happy and felt safe. Relatives said staff had a good understanding of people’s needs and preferences. Risks had been identified and measures put in place to keep people safe from harm. Medicines were managed safely and administered by trained staff.

Staff listened to what people wanted and acted quickly to support them to achieve their goals and outcomes. Staff offered people solutions to aid their independence and develop their skills.

Staff were well trained and skilled. The emphasis of support was towards inclusion and enabling people to learn essential life skills. Equality, diversity and human rights were promoted and understood by staff.

People and relatives described the staff as caring, kind and friendly and the atmosphere of the home as relaxed and engaging. People were supported to have maximum choice and control of their lives.

People received pre-admission assessments and effective person-centred support. The service was responsive to people’s current and changing needs. Regular reviews took place which ensured people were at the centre of their support.

People, relatives and staff spoke highly about the management and staff had a clear understanding of their roles and responsibilities. The team worked together in a positive way to support people to achieve their own goals and to be safe.

Checks of safety and quality were made to ensure people were protected. Work to continuously improve the service was noted and the registered manager was keen to make changes that would impact positively on people's lives.

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 can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

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.

For more deta

Inspection areas

Safe

Good

Updated 10 April 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 10 April 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 10 April 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 10 April 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 10 April 2020

The service was well-led.

Details are in our well-led findings below.