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Inspection Summary


Overall summary & rating

Good

Updated 19 November 2019

About the service

Ranmore House is a care home providing care for up to five people. On the day of our visit five people lived at the service. The service provides support to people who have a learning disability and some who may challenge the service.

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 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.

We met and spoke to all five people during our visit. However, some people who lived at Ranmore House had some communication difficulties due to their learning disability and associated conditions, such as autism. Therefore, they were not able to tell us verbally about all their experience of living there. We spent short periods of time with people seeing how they spent their day and observing the interactions between people and the staff supporting them. One relative who provided feedback said; “They (the staff) are brilliant with him.” One person said they ‘were happy’ living in the service.

People’s relatives said they felt their loved ones were safe with the staff supporting them. Systems were in place to safeguard people. Risks to them were identified and managed.

The support required with medicines was assessed, agreed and provided to people. Infection control measures were in place to prevent cross infection. Staff were suitably recruited. Staffing levels were flexible to enable the service to provide a bespoke service to people to meet their needs.

People were supported by staff who completed an induction, training and were supervised. The support required by people with health and nutritional needs was identified and provided. 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.

A relative said all the staff were kind and caring. Their privacy and independence were promoted.

Systems were in place to deal with concerns and complaints. This enabled people to raise concerns about their care if they needed to.

People’s care records were detailed and personalised to meet individual needs. Staff understood people’s needs and responded when needed. People were not able to be fully involved with their support plans, therefore family members or advocates supported staff to complete and review people’s support plans. People’s preferences were sought and respected.

People had staff support to access activities and holidays. This was flexible and provided in response to people’s choices. People’s communication needs were known by staff. Staff had received training in how to support people with different communication needs.

People were supported by a service that was well managed. Records were accessible and up to date. The service was audited, and action taken to address any areas identified that need

Inspection areas

Safe

Good

Updated 19 November 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 19 November 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 19 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 19 November 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 19 November 2019

The service was well-led.

Details are in our well-Led findings below.