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Inspection Summary


Overall summary & rating

Outstanding

Updated 16 February 2019

The inspection took place on 15 January 2019 and was unannounced. We previously inspected 21 Lime Street - Learning Disability and Autism ('21 Lime Street') in May 2016, at which time the service was rated outstanding. At this inspection we found the evidence continued to support the rating of outstanding and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

21 Lime Street is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

21 Lime Street accommodates a maximum of eight people with a range of mental health needs. The service is split across two floors. Nursing care is not provided. There were eight people using the service at the time of our inspection.

The service had a registered manager in place. A registered manager is a person who has registered with the CQC 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 registered manager was also responsible for the management of the provider’s other small service nearby and was supported by a deputy manager.

People who used the service gave extremely positive feedback about how staff were patient and respectful with them. External professionals provided positive feedback and relatives gave exceptional praise to staff.

All staff interacted inclusively and engagingly with people. The culture of the service was completely focussed on people’s individualities and their contribution. The service worked flexibly and innovatively to ensure people who used the service felt at home and as in control as they wanted to be of how the home was run. This was consistent across all levels of staffing and had a demonstrably positive impact on people’s wellbeing and quality of life.

Activities provision remained exceptional, with people encouraged to pursue individual interests or partake in the many and varied group activities. The registered manager continued to use their love of music and multimedia projects to engage people in hobbies and projects they found fulfilling.

Links with the local community had strengthened and again had an extremely positive impact on people’s ability to make new connections and contributions, and to reduce the risk of social isolation.

The registered manager, their deputy, the operations manager and all staff interacted extremely well with people who used the service and staff. The culture remained extremely open, inclusive and the atmosphere was welcoming. This had been sustained over a number of years and ensured people were fully a part of the home they live in, and the community they were a part of.

People felt safe and were supported by knowledgeable staff who knew how to minimise the risks they faced. Risk assessments were in place and were specific to people’s individual needs and circumstances.

The care service was managed 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.

Medicines management and administration practices were safe, with staff trained appropriately and their competence assessed. Staff demonstrated a good knowledge of people’s medicinal needs and liaised well with external professionals.

Staffing levels were appropriate to the needs of people who used the service and rot

Inspection areas

Safe

Good

Updated 16 February 2019

The service remained good.

Effective

Good

Updated 16 February 2019

The service remained good.

Caring

Outstanding

Updated 16 February 2019

The service has improved to outstanding.

People were included in all aspects of planning the service and their care.

Feedback regarding the compassionate and patient attitude of staff was exceptional.

People's individualities were respected and celebrated.

Responsive

Outstanding

Updated 16 February 2019

The service remains outstanding.

Well-led

Outstanding

Updated 16 February 2019

The service remains outstanding.