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Disabilities Trust - 128 Beech Hill Outstanding

Inspection Summary


Overall summary & rating

Outstanding

Updated 19 July 2017

Disabilities Trust 128 Beech Hill is a service registered to accommodate up to four people who require support with personal care. They specialise in providing support to younger adults with autism and a learning disability. On the day of the inspection there were four people using the service who required minimal support with personal care. The accommodation is provided in a semi-detached house located in a modern housing estate in Hay wards Heath near to local shops and bus routes. There is one bedroom on the ground floor with the other three located on the first floor which is accessed by a flight of stairs. There is a secure rear garden and off road parking to the front of the property.

This inspection took place on the 15th May 2017 and was announced. This was because the service is a small service and we needed to make sure people would be in when we arrived. It was also so that the provider had time to arrange for sufficient numbers of staff to be deployed on the day to facilitate the inspection without disrupting people's daily routines.

At the last inspection on 5 May 2015 the service was rated Good.

The service has a registered manager. A registered manager is a person who has registered with the Care Quality Commission (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 service had an extremely positive culture that was exceptionally person-centred, open, inclusive and empowering. Staff went the extra mile to share information with people and provide explanations in a way that empowered them to make informed decisions and become more independent. One person told us “I make my own choices, I decide what I do”. There was a strong emphasis on team work and communication sharing. The registered manager and staff had a ‘can do’ attitude and were solution focussed. One relative told us “Staff are brilliant, they have good ideas, useful one’s, they have a lot of empathy and get things done. I’ve no concerns”.

The service was exceptionally well led. Staff were enthusiastic and happy in their work. They felt supported within their roles and held the management team in high regard, describing a management approach, where managers were always available to discuss suggestions and address problems or concerns. A social care professional told us “It’s very, very well organised. They are excellent and go beyond what they’re supposed to do”. A staff member told us “I love working here. I’ve learnt a lot and developed my career. (Line manager’s name) is very approachable the management is good”.

Staff had a common aim and purpose to achieve positive outcomes for people. They excelled at providing consistency which had a positive impact on people’s wellbeing, reduced their anxiety levels and provided stability. A relative told us “Consistency is the key and they do that well”. A staff member told us “We work well as a team, it works like clockwork. We provide consistent support; this is a very settled house”. Another staff member commented “I love it here, really good continuity of care and a rewarding job and great support”.

People mattered and the care was exceptionally personalised. Each person had a trusted member of staff, known as a keyworker, who took a lead role in each person's care and wellbeing. They continuously looked for ways to ensure people had positive experiences and led fulfilling lives. Staff knew about people's lives, their interests and talents and encouraged them to become more independent and try new things.

Information was shared and explanations given to people to help them form their own opinions and make their own choices and decisions. People were fully involved in every aspect of the day to day running of the service from cooking and cleaning to decorating and completing safety checks.

Th

Inspection areas

Safe

Good

Updated 19 July 2017

The service was safe.

Staff were trained in how to protect people from abuse and knew what to do if they suspected it had taken place.

Staffing numbers were sufficient to people received a safe level of care. Recruitment records demonstrated there were systems in place to ensure staff were suitable to work within the care sector.

Medicines were stored appropriately and associated records showed that medicines were ordered, administered and disposed of in line with regulations.

Risks were managed in the least restrictive way.

Effective

Good

Updated 19 July 2017

The service was effective.

People were supported by staff who completed training to meet people�s needs. Staff were supported to develop in their roles.

Staff worked in accordance with the Mental Capacity Act 2005 and Deprivation of liberty safeguards were applied appropriately.

People were supported to eat a healthy diet and access health care support when needed.

Caring

Outstanding

Updated 19 July 2017

The service people received was exceptionally caring.

Staff went the extra mile to provide explanation to people, support them to become independent, make their own decisions and take charge of their own lives.

People were treated with kindness and compassion by staff who put people�s wellbeing at the heart of everything they did. People�s privacy and dignity was respected by staff with whom positive relationships had been formed and who promoted their individuality.

People benefited from staff who provided consistent care and supported people to reduce their anxiety levels and promoted their wellbeing.

People were involved in their care and support and empowered to make their own decisions.

Responsive

Outstanding

Updated 19 July 2017

The service was exceptionally responsive to people�s individual needs.

The service was exceptionally flexible and responsive to individual�s needs and preferences, and found innovative and creative ways to enable them to live life to the full. They were supported to access the community and follow diverse hobbies and interests. The support received promoted positive care experiences and enhanced their wellbeing.

People and their relatives were consulted about their care and involved in developing their support plans. Detailed plans outlined their care and support needs. Staff were knowledgeable about people�s support needs, their interests and preferences in order to provide personalised care.

People knew how to make a complaint if they were unhappy with the service.

Well-led

Outstanding

Updated 19 July 2017

The service was well-led.

The registered manager and staff were passionate about providing a high standard of bespoke care for people.

People were looked after by staff who were committed to providing a high standard of care. Staff shared the provider's vision and values to ensure people benefitted from the best possible person centred care.

Staff and relatives spoke highly about the management team and the service being delivered to people.

There was an effective quality assurance system in place to ensure any improvements needed within the service were identified and the necessary action was taken to implement change.