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Priory Rookery Hove Inadequate

Inspection Summary


Overall summary & rating

Inadequate

Updated 7 August 2020

About the service

Priory Rookery Hove is a residential care home for up to 13 younger adults with learning disabilities, autism, or mental health conditions. Six people were living at the home at the time of our inspection. Priory Rookery Hove is a transitional unit. The aim of the service is to develop people's life skills and give them opportunities to move on to more independent living.

Priory Rookery Hove was designed, developed and registered before 'Registering the Right Support' best practice guidance was published. If the provider applied to register Priory Rookery Hove today it is unlikely the application would be granted. The model and scale of care provided is not in keeping with the cultural and professional ideas of how services for people with a learning disability and/or autism should be run to meet their needs. Improvements are needed to ensure the service develops in line with the values that underpin the Registering the Right Support and other best practice guidance. The building design fitted into the residential area and the other large domestic homes of a similar size. There were no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were discouraged from wearing anything that suggested they were care staff when coming and going with people.

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

People told us they felt safe at the home and with the staff who supported them. They said staff had time to spend with them to plan and review their support.

There was evidence of learning when things went wrong. When accidents or incidents occurred, these were reviewed to identify measures that could be put in place to prevent a similar incident happening again. If risks to people were identified, a risk management plan had been put in place. These included guidance for staff about how to support people in a way which minimised risks.

The use of Positive Behaviour Support (PBS) was more effective than it had been at our last inspection. (PBS is a person-centred approach to supporting people with a learning disability or autism.) Potential triggers for behaviours were identified and recorded. Strategies to avoid escalation had been developed, which were known by staff.

People told us staff had supported them to protect themselves from the risk of COVID-19 infection. Additional infection control measures had been implemented to protect people and staff during the COVID-19 pandemic. These measures included the use of appropriate PPE, more frequent cleaning of the home and ensuring staff were up-to-date with guidance about infection control.

People’s care records had improved since our last inspection. Old material had been archived and people’s support plans reviewed with their involvement. This meant people’s support plans were more relevant to their needs. For example, some people’s support plans focused on developing the skills needed to move on to more independent living.

Staff told us they received good support from the registered manager and deputy manager. They said the registered manager had improved many aspects of the service since taking up post in March 2020. Staff described the registered manager as approachable and supportive and said he had instilled a sense of clarity about what the service aimed to achieve for people.

Opportunities for people to have their say about the home and the support they received had increased. People told us they were involved in planning their care with support from an allocated keyworker. Residents’ meetings took place regularly at which people were encouraged to give their views about the service and the support they received. People told us staff listened to and acted upon what they had to say.

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

Inspection areas

Safe

Requires improvement

Updated 7 August 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Inadequate

Updated 7 August 2020

Caring

Inadequate

Updated 7 August 2020

Responsive

Inadequate

Updated 7 August 2020

Well-led

Requires improvement

Updated 7 August 2020

The service was not always well-led.

Details are in our well-led findings below.