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Inspection Summary


Overall summary & rating

Good

Updated 22 November 2019

About the service

Gloucester House is a residential care home providing accommodation and personal care to eight people with a learning disability and / or autism in one adapted building. At the time of the inspection eight people were living at the service.

The service has 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 using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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

Improvement was required in some areas of the management of medicines to ensure the protocol in place reflected their fluctuating needs.

The management and staff were aware of the need to report abuse or potential abuse to the local authority.

Quality assurance systems were in place to monitor the quality and safety of the service provided. However, these had not identified a timing issue with a person's medicines.

Risk involving people’s care were assessed. Staff were aware of these and of the care and support people needed to manage and mitigate these risks. Checks were in place regarding the environment to ensure it was safe for people to live in.

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 in the service supported this practice.

People had access to healthcare specialist and other professionals to maintain their wellbeing. People had a choice of food and staff were aware of people’s likes and dislikes as well as any medical requirements regarding their dietary needs.

Staff were trained in areas relevant to meet people’s needs. The registered manager had attended specialist training re de-escalation techniques.

People were positive about the staff members who cared for them and were seen to enjoy each other’s company. People were able to engage in fun and interesting things to do. These included activities and events at the home as well as in the wider community.

Staff and management were responsive to people’s changing care needs and acted upon these to ensure their wellbeing. Care plans were in place and regularly reviewed. People were confident any concerns would be listened to and acted upon.

People were consulted and able to take part in satisfaction surveys. People and staff spoke positively about the management of the home and of their passion to provided good quality care.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (published 23 March 2016).

Why we inspected

This was a planned inspection based on the previous report.

We have found evidence that the provider needs to make improvement. Please see the safe section of this full report.

Inspection areas

Safe

Requires improvement

Updated 22 November 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 22 November 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 22 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 22 November 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 22 November 2019

The service was well-led.

Details are in our well-led findings below.