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The Manor House - Frenchay Outstanding

Inspection Summary


Overall summary & rating

Outstanding

Updated 13 March 2019

This inspection took place on 8 and 10 January 2019 and was unannounced.

People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

There was a registered manager in post. 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.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

The values that underpin Registering the Right Support and other best practice guidance were seen in practice at this service. There was overwhelming evidence that the core values of choice, promotion of independence and community inclusion; were at the centre of people's day to day support. Staff were extremely person centred in their approach in supporting people with their day to day goals and their long-term aspirations.

However, the service was a large manor house, which was larger than most domestic style properties and was registered to support up to 23 people. There were 16 people living permanently in the service and seven people living at the service for short breaks. This service is larger than current best practice guidance. The registered manager and provider had reduced the negative impact on people in the following ways. The design of the building was such that it fits into its environment, as it was in a residential road with other large domestic homes of a similar size.

The home had been divided into three separate units, Chestnuts, Arandell and Beechwood supporting people in smaller groups of six and eight. Each unit had their own communal space consisting of a lounge, kitchenette and dining facilities and bathrooms. There were also additional shared areas which people could use to their benefit, such as an arts and crafts room, a central lounge and a sensory room, large gardens including a sensory garden. In addition to their very personalised bedrooms.

Staff were allocated to each unit enabling them to support people in a very person-centred way. People had a high level of autonomy over how they spent their time. People's support was built around them and this enabled people to live individualised lifestyles. There was a calm welcoming atmosphere in the home. It did not feel overly busy or institutionalised.

People remained safe at the home. There were sufficient numbers of staff to meet people’s needs and to spend time socialising with them. Risk assessments were carried out to enable people to receive care with minimum risk to themselves or others. People received their medicines safely.

People were protected from the risk of abuse because there were clear procedures in place to recognise and respond to abuse. Staff had been trained in how to follow the procedures. Systems were in place to ensure people were safe including risk management, checks on the equipment and fire systems.

People received extremely effective care because staff had the skills and knowledge required to support them in a very person centred way. People's healthcare needs were monitored by the staff. The service was commended by health care professionals on their person centred approach. Staff knew people very well and noticed slight changes in people which might indicate that they were not well or unhappy.

People were treated in a dignified, caring manner, which demonstrated that their rights were protected. Where people lacked

Inspection areas

Safe

Good

Updated 13 March 2019

The service continues to provide a safe service.

Effective

Good

Updated 13 March 2019

The service continues to provide an effective service.

Caring

Outstanding

Updated 13 March 2019

The service continues to be outstanding.

Responsive

Outstanding

Updated 13 March 2019

The service had improved and was outstanding in their responsiveness to people�s individual needs. Staff were very knowledgeable about the people they supported and passionate about providing support tailored to the person.

People were listened to and their dreams and aspirations were acknowledged and acted upon. The home was very busy with people going out regularly on a one to one basis.

There were many examples were people were supported to lead the life they wanted and where staff had responded extremely promptly to changes. There was a �can do� attitude.

Well-led

Outstanding

Updated 13 March 2019

The service was extremely well led.

There was a clear management structure. Staff were empowered along with the people they supported. There was a commitment to involve people their relatives and friends. They sought the views and experiences of people, their families and the staff in order to continually improve the service.

Staff were highly valued and morale was exceptionally high. The vision of the service was clearly communicated to staff.

The registered provider and staff team were approachable and available and willing to listen to people. The registered provider was passionate and dedicated to providing an outstanding service to people.