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Inspection Summary


Overall summary & rating

Good

Updated 23 February 2018

Cambria House is a residential care home for eight people with learning disabilities or autistic spectrum disorders. At the time of the inspection, seven people were living at the home. Accommodation is provided within a large detached house with communal areas, lounge, dining room and kitchen with a secure garden to the rear of the property and is located close to the town centre of Winchester. The service is not registered to provide nursing care.

There was not a registered manager in post. The previous registered manager had left the service the week before this inspection. The service had engaged a new manager and their application to become registered manager for this service was being processed by the Care Quality Commission. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At the last inspection, the service was rated Good. At this inspection we found the service remained Good.

Why the service is rated Good.

There was a strong emphasis on enabling people to live their lives to the full and to be fully involved in all aspects of the care and support they received.

People had excellent community links and regularly enjoyed trips to the theatre, cinema, pubs and other local services. They were able to follow their own interests and hobbies and enjoy an active social life.

The service had taken appropriate steps to protect people from the risk of abuse, neglect or harassment.

People received their medicines safely. People’s medicines were reviewed regularly by their GP and specialist health care providers.

People had access to health care and staff ensured that they saw specialists. For example, consultants, occupational therapists, dieticians, dentists and opticians.

There were enough suitable staff deployed to meet people’s needs.

People's needs were assessed and care plans in place. People received appropriate care and support because care plans were detailed and responsive to their needs.

Risk assessments were carried out to enable people to retain their independence and receive care with minimum risk to themselves or others.

Accidents and incidents were monitored and analysed and action taken to reduce risks.

Staff received induction, training and supervision that helped them to deliver good levels of care and support. Staff were trained in principles of care in relation to people living with a learning disability and specialised care of people who also lived with a physical disability.

People were supported to eat and drink according to their likes and dislikes.

Consent was sought, where possible. The service followed the principles of the Mental Capacity Act 2005. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staff displayed a caring attitude and were affectionate, empathic and kind. People in the service responded warmly to them. Staff understood how to support people to maintain their dignity and privacy.

People received care and support which ensured they were able to make choices about their day to day lives.

People were supported to engage in activity programmes both in the home and in the community.

People knew how to complain and there were a range of opportunities for them to raise concerns with the registered manager and designated staff.

Inspection areas

Safe

Good

Updated 23 February 2018

The service remains safe

Effective

Good

Updated 23 February 2018

The service remains effective

Caring

Good

Updated 23 February 2018

The service remains caring.

Responsive

Outstanding

Updated 23 February 2018

The service is very responsive. The service provided exceptionally person centred care. People had highly personalised care plans which ensured care was tailored to meet their individual and diverse needs.

There was a strong emphasis on enabling people to live their lives to the full and to be fully involved in all aspects of the care and support they received.

People had excellent community links and regularly enjoyed trips to the theatre, cinema, pubs and other local services. They were able to follow their own interests and hobbies and enjoy an active social life.

Activities were innovative and met people�s individual and complex needs and preferences. They were provided with varied and meaningful activities which enhanced their lifestyles.

There were arrangements in place for people to raise any complaints or concerns. These were taken seriously and investigated fully.

Staff were enthusiastic and passionate about supporting and understanding people�s needs to help them to improve their quality of life.

Well-led

Good

Updated 23 February 2018

The service remains well led.