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The Old School House Outstanding

Inspection Summary


Overall summary & rating

Outstanding

Updated 29 January 2020

About the service

The Old School House is a residential care home providing personal care to 33 older people. People who live at this home receive support with complex needs associated with their diagnosis of dementia. The service can support up to 40 people.

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

The environment at the Old School House was exceptional. Further improvements had been made to enhance the facilities for people to meet their daily life needs. The service was particularly suited to people with dementia. Staff training, support and innovative working followed, and challenged best practice to help people overcome fears and anxieties. The provider had active links, sharing information and best practice with leading experts in dementia care.

Care and support was delivered following legislation and national guidance. Where people showed behaviours that challenged or were resistant to assistance they were supported using low-level distractions which enabled staff to maintain their dignity and personal cares.

Staff were very well trained and experienced in identifying and responding to any changes in behaviour. People were supported according to their own expectations and abilities. This encouraged and supported their independence and freedoms. Many positive outcomes were evidenced for people and staff told us they were motivated by the positive impact the service had on people’s lives.

All feedback received about the support provided to people was extremely positive. People received high-quality, personalised support from regular and committed staff. Recruitment checks were in place. Staff had received training and support to enable them to carry out their role. Further staff training encouraged promotional prospects and included champion roles to guide and support other staff to follow best practice. Healthcare professionals felt staff were excellently trained.

The provider had a positive ‘can do’ attitude to support known risks where people accessed the community. People enjoyed time with supporting partners who encouraged dementia friendly visits. This included local cinemas, cafes and garden centres. Staff were led by an activities team and completed fund raising events which were supported by people at the home. People were engaged with a range of innovative activities which lead to many positive outcomes.

Staff clearly understood the importance of supporting people to live in a dignified manner. We observed many positive interactions where staff provided people with gentle reassurance, guidance and where required, a comforting hug.

People received a detailed assessment to ensure the service was suitable for them and able to meet their needs. Care planning was robustly recorded on an electronic i-care system, and information was instantly accessible for staff which led to person centred care and support. A range of initiatives were in place to celebrate people’s ‘life-stories’. Staff used associated information to hold meaningful discussions with people which led to effective supporting relationships.

The provider completed regular checks to assure the quality of the service. Input and feedback were sought in a variety of ways and used to encourage further innovative practice.

The service completed a range of checks to certify and maintain the safety of the service, equipment and the environment. Staff received appropriate training to safeguard people from avoidable abuse. Systems and processes encouraged the reporting of any incidents for further investigations. Outcomes were routinely used to improve the service for the benefit of everyone.

People received their medicines safely as prescribed. Systems, processes and oversight ensured medicine management and administration followed best practice guidance and staff had the required skills and knowledge to provide this support.

People were supported to have maximum choice and control of their lives and staff supported them in the leas

Inspection areas

Safe

Good

Updated 29 January 2020

The service was safe.

Details are in our safe findings below.

Effective

Outstanding

Updated 29 January 2020

The service was exceptionally effective.

Details are in our effective findings below.

Caring

Outstanding

Updated 29 January 2020

The service was exceptionally caring.

Details are in our caring findings below.

Responsive

Outstanding

Updated 29 January 2020

The service was exceptionally responsive.

Details are in our responsive findings below.

Well-led

Outstanding

Updated 29 January 2020

The service was exceptionally well-led.

Details are in our well-led findings below.