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Chiltern Support and Housing Good

Inspection Summary


Overall summary & rating

Good

Updated 18 October 2019

About the service

Chiltern Support and Housing provides care for people who live in supported living accommodation. The provider supports people in seven properties in the High Wycombe, Aylesbury and Barnet areas. The numbers of people supported in each property ranged from one to eight. All people supported had an individual bedroom, shared main bathroom and kitchen facilities.

Not everyone who used the service received personal care. The Care Quality Commission (CQC) only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

At the time of the inspection 20 people with a range of needs including learning disabilities, autistic spectrum disorder, brain injury and neurological conditions were supported with the regulated activity of personal care.

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

Where required people were supported with prescribed medicines. However, records did not always reflect best practice. We have made a recommendation about this in the report.

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. However, we found some improvements could be made to ensuring everyone was supported in line with the Mental Capacity Act 2005. We have made a recommendation about this in the report.

We observed people were supported to live a life of their choosing. People were supported to be independent with their life skills and chosen activities.

People were supported by staff who had been recruited safely and had received training to ensure they had the right skills and attributes.

People were supported by staff who demonstrated they were kind and considerate. Staff were able to provide dignity to people.

People received a personalised care service. Care plans were written to reflect their likes and dislikes and staff were knowledgeable about people and their personal circumstances.

The service had a clear management structure. Relatives told us communication was good and felt the service was well-led.

The service consistently applied 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.

The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.

As part of thematic review, we carried out a survey with the provider at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people.

The service used positive behaviour support principles to support people in the least restrictive way. Some minor restrictive

Inspection areas

Safe

Good

Updated 18 October 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 18 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 18 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 18 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 18 October 2019

The service was well-led.

Details are in our well-led findings below.