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Inspection Summary


Overall summary & rating

Outstanding

Updated 24 April 2018

The Inspection took place on 15 February 2018 and it was unannounced. At the last inspection on 22 June 2015, the service was rated good overall with an outstanding rating for responsive. At this inspection the service was rated as outstanding overall with all five domains also being rated as outstanding.

Mansard House is a 'care home'. People in care homes receive accommodation and or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided and both were looked at during this inspection.

The service is registered to care for up to ten adults who have mental health conditions, a learning disability or autistic spectrum disorder. There were ten people who lived at Mansard House when we inspected, who had mental health conditions.

There was a registered manager in post, who was present at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission 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.

Mansard House is a three storey dwelling located in a residential area of Preston close to the city centre. All bedrooms are of single occupancy with en-suite facilities. These are tastefully decorated and furnished to meet the needs and wishes of each individual who lives at the home. The communal areas are pleasant and well maintained. Public transport links are within easy reach and on road parking is permitted directly outside the home. A variety of amenities are within easy reach, such as pubs, shops, supermarkets, churches, a post office, leisure centre and newsagents.

The regulated activity for this service is accommodation for persons who require nursing or personal care. However, nursing care is not provided at Mansard House.

We found recruitment practices to be robust. In-depth induction programmes were provided for all new employees and a wide range of training modules were available for the staff team, many of which were essential components of individual learning and development plans. Training was also provided specifically around the needs of people who lived in Mansard House. Staff members we spoke with were knowledgeable about the needs of those in their care.

Records showed the staff team completed an exceptionally wide range of mandatory training modules and this was confirmed by staff members we spoke with. Regular supervision sessions and annual appraisals enabled members of the workforce to discuss their personal development and training needs with their line manager.

The home had introduced a well-researched and evidence based system for the planning of people’s support. This produced exceptionally detailed assessments of people’s needs, which had been completed before a placement was arranged. The planning of people’s care and support was extremely person centred, providing staff with clear guidance about people’s needs and how these needs were to be best met.

Records showed that individuals were empowered and fully involved in making decisions about how they wished to live. Risk assessments had been completed, which were detailed and outlined the best course of action, in order to reduce the level of potential risk. This helped to protect people from harm.

The home had introduced creative ways of supporting people with healthy eating and with learning independent living skills, such as meal planning, food shopping, cooking and computer skills. This helped those who lived at Mansard House to prepare for their future, when they were able to step down from residential care and support.

We found that people’s dignity was consistently promoted and their privacy was always respected. Staff members approached those who lived at Mansard House in an extremely kind, gentle and friendly manner

Inspection areas

Safe

Outstanding

Updated 24 April 2018

This service was exceptionally safe.

Every opportunity was explored to enable people to manage their own medicines.

People were enabled to make informed choices about risk taking to maximise control over their lives.

There was a genuinely open and transparent culture. Staff were fully committed to reporting incidents and learning lessons when things went wrong.

The ethos of the home focussed entirely on the safety and well-being of those who lived at Mansard House.

Effective

Outstanding

Updated 24 April 2018

This service was exceptionally effective.

Some people were involved in providing training modules by sharing first hand experiences with others.

People were supported to take part in the recruitment of staff and they had an influence on the outcome of staff appointments.

People were supported to enjoy a meaningful lifestyle, without any restrictions being placed on their freedom.

People were involved in preparing their individual menu choices. Creative systems were in place to support people to live a healthy lifestyle, including good nutrition.

Caring

Outstanding

Updated 24 April 2018

This service was exceptionally caring.

There was a strong, visible person-centred culture. The staff team was highly motivated. Care and support was offered in a compassionate way and staff demonstrated a real empathy for those in their care.

The service had introduced creative ways of helping people to express their views, so staff understood things from their points of view. This was done by the service user led empowerment group, which was chaired by a nominated service user and which met regularly to discuss any topics of interest to the group.

Some service users had also signed up to become ‘experts by experience’ for the company, which enabled people to be involved in the operation of the organisation, by obtaining people’s views and suggestions for improvement. These were then acted on by the management team to ensure the recommendations were implemented.

Everyone felt they ‘belonged’ to Mansard House and people were supported to achieve an ‘exciting lifestyle’. People felt the staff team were genuinely ‘caring’ in all aspects of their work.

Responsive

Outstanding

Updated 24 April 2018

This service was exceptionally responsive.

Support plans we saw were extremely well written, person centred documents. These provided individuals and staff with very clear guidance about assessed needs and how these needs were to be best met.

The ‘Recovery Star’ was used in the most effective way. It was creative and was embedded throughout all aspects of the service, which empowered people to plan for their recovery, with the support of the staff team.

People who lived at Mansard House were at the centre of all practices adopted by the home. This had a huge positive impact on people’s daily lives, which enabled them to encounter experiences they had never imagined.

Well-led

Outstanding

Updated 24 April 2018

This service was exceptionally well-led.

The visions and values of Mansard house were imaginative and these were built in a creative way around those who lived at the home.

The staff team embraced everyone who used the service. They showed genuine commitment and dedication towards those who lived at Mansard House. Every staff member was proud to work at the home.

This outstanding service was managed by a genuinely compassionate leader, who continued to develop her own skills, whilst supporting the staff team to embark on new learning experiences.