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Inspection Summary


Overall summary & rating

Good

Updated 1 June 2018

Frinton House provides accommodation for up to six adults who have learning disabilities. There were six people living at the home at the time of our inspection. People's needs varied, some displayed behaviours that challenged and some were on the autism spectrum. People had complex communication needs and required staff who knew them well to meet their needs. Frinton House is owned by Consensus Support Services Limited who have a number of care homes nationally.

There was a registered manager in post. 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.

The service had been rated requires improvement at the last two inspections. At the last inspection in December 2016 there were two breaches of regulations and requirement notices were issued. Breaches were in relation to a lack of good governance and a failure to give appropriate consideration to the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) in accordance with legal requirements. (The MCA promotes choice in decision making and DoLS provide legal safeguards for people who may be deprived of their liberty for their own safety.) We asked the provider to complete an action plan to show improvements they would make, what they would do, and by when, to improve the key questions in effective and well-led to at least good. At this inspection we found the provider was now meeting legal requirements and in some areas was providing an outstanding quality of care.

This comprehensive inspection took place on 1 and 6 February 2018.

There was excellent leadership in the home and the registered manager had an open door policy which staff valued. Staff were fully involved and committed to achieving the home’s and organisation’s values and vision. The organisation had extensive systems to monitor and review the quality of the care provided.

Appropriate referrals were made to health care professionals when needed, and people were supported to attend health appointments, such as the GP or dentist. Staff had worked together to support one person who had complex health needs and an innovative and imaginative solution had been found that ensured the person received the treatment and supported needed to make an excellent recovery. There were excellent links with specialists to ensure guidance and support was obtained to meet people’s complex needs. Where possible, easy read documentation had been used to help people understand difficult topics and situations. Feedback from professionals who supported people and from relatives was unanimously positive.

People were treated with utmost dignity and respect by kind and caring staff. Staff had an extremely good understanding of the care and support needs of people and had developed positive relationships with people. Relative's had complete confidence in the staff and told us they were always made to feel welcome at Frinton House. People’s achievements were displayed in a ‘Loud and Proud’ cabinet and relatives told us there had been an increase in parties and gatherings to celebrate people’s achievements.

Staff worked hard to ensure people’s dreams and aspirations were met. One person had been supported to have a meal out in a hotel as they had not previously done this. The person told us this had been a very special evening and they had enjoyed getting dressed up. Staff took lots of photographs to mark the occasion and these were shown to us with pride and enthusiasm. The person was very happy their dream had been achieved. This person had also been supported to start part-time voluntary work and they were very proud of how well this was going. Extensive work had been taken to increase the variety and range of activities people par

Inspection areas

Safe

Good

Updated 1 June 2018

The service was safe.

There were suitably qualified and consistent staff available to ensure people�s needs were met.

People were supported by staff who were knowledgeable of safeguarding procedures and who could recognise signs or indicators of abuse.

People's medicines were stored, administered and disposed of safely.

There were risk assessments in place and staff had a good understanding of the risks associated with the people they supported.

Effective

Good

Updated 1 June 2018

The service was effective.

People were supported to make decisions that enabled them to have choice over their own lives.

Staff had suitable induction, training and supervision to ensure they had the skills and knowledge required to support people. Additional training was provided to support people�s specific needs.

People were given choice about what they wanted to eat and drink and ate food they enjoyed.

Caring

Good

Updated 1 June 2018

The service was caring.

People were treated with warmth, kindness and respect.

Staff knew people well and displayed kindness and compassion when supporting people. People's dignity and privacy was respected and promoted.

Staff adapted their approach to meet people's individual needs and to ensure care was provided in a way that met their individual wishes.

Responsive

Good

Updated 1 June 2018

The service was responsive.

Each person had an in-depth care plan tailored to their individual needs.

People were encouraged to take part in activities of their own choosing and were supported to achieve personal goals. People�s daily planners were varied and promoted independence and social stimulation.

The service supported people to maintain close links to health professionals. Professionals and relatives praised the home for the positive impact staff had made to people�s health.

People, relatives and staff were aware of the complaints procedure and actively encouraged to feedback any issues to improve the service. People felt listened to and their complaints were taken seriously and responded to.

Well-led

Good

Updated 1 June 2018

The service was well-led.

Staff spoke very highly of the support they received from the registered manager and the provider.

Regular feedback was sought from people, staff, relatives and visiting professionals about the running of the service. Staff felt well supported and valued the open culture within the home.

There were robust quality monitoring processes to check quality and safety. The registered manager had a very clear over-sight of Frinton House and was firm in her conviction to realise the goals she had set for the service.