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Inspection Summary


Overall summary & rating

Good

Updated 19 January 2018

The service is registered to provide accommodation and personal care to six people who have a learning disability. This may include people who also have a significant physical disability. There were five people living at the service at the time of the inspection. The service is a purpose built property and accommodation is provided on one level. It is set in a rural area on the outskirts of Woodchurch village on Highlands Farm, which is a tourist attraction and where the provider has other registered services located. Each person has a single room and there is a communal bathroom, separate wet room with bath, kitchen, lounge/diner and sensory room. There is an accessible garden with a paved seating area at the back of the bungalow.

Rating at last inspection

At the last inspection, the service was rated Good overall and Outstanding in the ‘Caring’ domain.

Rating at this inspection

At this inspection, we found the service remained Good and outstanding in the ‘Caring’ domain. .

Why the service is rated Good

People’s care was exceptional: People knew their needs and wishes were understood by staff because they were always met. Staff looked for creative ways to ensure people’s needs were met, and ensured obstacles were overcome when possible. People were relaxed in staff’s company and staff listened and acted on what they said or gestures and body language. People were consistently treated with dignity and respect and their privacy was respected. Staff were very kind and patient in their approach, but also used good humour. People received care and support from a dedicated team of staff that put people first and were able to spend time with people in a meaningful way. Staff had built up relationships with people and were familiar with their life stories and preferences.

People were protected from abuse, as staff understood how to recognise and report any suspicions of harm or abuse. People received their medicines safely and when they should. Risks were assessed and staff took steps to keep people safe whilst encouraging their independence wherever possible.

People were involved in the planning of their care and support. Care plans contained clear and detailed information about people’s wishes and preferences. They showed people’s skills in relation to tasks and what support they required from staff, in order that their independence was maintained. People had reviews of their care and support where they and/or their representatives were able to discuss any concerns or aspirations.

People were encouraged and supported to make their own decisions and choices and staff respected these. Staff had received training in the Mental Capacity Act (MCA) 2005. The MCA provides the legal framework to assess people’s capacity to make certain decisions, at a certain time. When people are assessed as not having the capacity to make a decision, a best interest decision is made involving people who know the person well and other professionals, where relevant. The registered manager understood this process.

People were protected by safe recruitment procedures. New staff underwent an induction programme, which included shadowing experienced staff, until staff were competent to work on their own. Staff received training relevant to their role and people’s needs. Staff had opportunities for one to one meetings and team meetings, to enable them to carry out their duties effectively. The majority of staff had gained qualifications in health and social care. People had their needs met by sufficient numbers of staff and staff rotas were based on people’s needs, activities and health appointments.

People had a varied diet and were involved in planning the menus. Staff supported people’s special dietary needs. People had a programme of leisure activities and went out and about, as they wished.

People had complex health needs and were supported to maintain good health and attend appointments and check-ups. Appropriate referrals were

Inspection areas

Safe

Good

Updated 19 January 2018

The service remains Good.

Effective

Good

Updated 19 January 2018

The service remains Good.

Caring

Outstanding

Updated 19 January 2018

The service remains Outstanding.

Responsive

Good

Updated 19 January 2018

The service remains Good.

Well-led

Good

Updated 19 January 2018

The service remains Good.