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Archived: The Merchant's House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 24 July 2019

About the service

The Merchants House is a care home providing support for up to six people over the age of 18. The house is a large Victorian building that fits in with other houses in the local area. People living there each have their own bedroom and share communal living space. There is off road parking available for several cars and an enclosed back garden people can access.

Improvements had been made since the last inspection in relation to supporting people in a person-centred way, supporting people to stay safe, minimise the risk of abuse, and maintaining a safe environment. Improvements had been made to the systems in place to monitor the quality and safety of the service and to sharing information with relevant organisations. Improvements had also been made to the training staff received and the providers oversight of that training.

Further improvements are needed to how people are supported with dignity and respect. We have therefore given a requirement related to this.

We have made three recommendations in relation to recruitment checks, training records and continuing to improve how they support people in line with the principles of Registering the Right Support.

The service has not been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence.

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

The service didn’t consistently apply the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

Improvements had been made in the way people were supported to have choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the polices and systems in the service supported this practice. This was an on-going process within the home with room for further improvement.

The outcomes for people did not fully reflect the principles and values of Registering the Right Support for the following reasons: Although a number of improvements had been made to the environment of the home this was a work in progress with parts of the provider’s action plan still underway. Other aspects of the building such as the use of a staff toilet in a prominent position, a large menu board nobody used and labels on people’s furniture detracted from creating a homely environment as opposed to one which appeared institutional.

We saw an improvement in the culture amongst staff at the home. Staff were more aware of their body language and of the need to provide support as unobtrusively as possible. There was room for further improvement, particularly around ensuring written and spoken language was respectful and promoted people’s dignity.

People were protected from abuse and the risk of harm. Changes had been made to the staff team and to people living together at the home. This had created an opportunity for making improvements to the support individuals received and to the environment. Robust checks of the environment were undertaken to make sure it was safe. Risks to people were clearly identified and staff followed agreed procedures to support people to stay safe in as unobtrusive a way as possible. There had been no use of restraint with the home within the six weeks prior to the inspection.

Plans had been implemented and were underway to increase the opportunities people had for becoming more independent, make more choices and have more control over their home and their daily lives.

People received the support

Inspection areas

Safe

Good

Updated 24 July 2019

The service was safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 24 July 2019

The service was effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 24 July 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Good

Updated 24 July 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 24 July 2019

The service was not always well-led.

Details are in our well-Led findings below.