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Inspection Summary


Overall summary & rating

Good

Updated 7 November 2019

About the service

Dinorwic Road provides specialist care for people with learning disabilities and/or autism. The home is registered to provide care for three people. At the time of our inspection there were two people living at the home. Dinorwic Road is a large domestic property in a residential area of Southport close to local amenities.

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.

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 registered manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people. The service used some restrictive intervention practices as a last resort, in a person-centred way, in line with positive behaviour support principles.

People’s experience of using this service

People’s individual needs and preferences were consistently considered as part of the care planning process. Their needs and preferences were reflected in the way care was provided. Care and communication methods were sensitively adapted to promote people’s independence and choice. People were encouraged and supported to take the lead in assessment and care planning processes with the support of staff. People and their relatives were actively involved in setting and reviewing short and long-term goals. There was clear evidence this approach had improved people’s skills and independence and reduced anxiety.

Staff understood the need for effective communication and exceeded the requirements of the Accessible Information Standard. Important information was also made available in a range of accessible formats to help people understand and to promote their involvement in decision-making. Staff’s creative and flexible approach to communication meant people could always express themselves. There was evidence in care records this had resulted in lower levels of high-risk behaviours and improvements in people’s health and wellbeing. People were supported to enjoy a range of personalised activities in their own home and the wider community. Activities reflected people’s needs and preferences and were also beneficial in developing their independence.

Systems and processes for keeping people safe were highly developed and effective. Risk was assessed in good detail and supported by appropriate care plans. There was clear evidence of the service learning from incidents and feedback. Staff were deployed safely in accordance with people’s needs. Medicines were managed safely in accordance with best-practice guidance.

Staff were given a thorough induction and supported with regular additional training and supervision. People were supported to exercise choice and were involved in shopping for ingredients for their meals. The building had been decorated in a way which reflected the preferences of the people living there and was noticeably homely. There was evidence of regular contact with community health servi

Inspection areas

Safe

Good

Updated 7 November 2019

The service was safe

Details are in our Safe findings below.

Effective

Good

Updated 7 November 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 7 November 2019

The service was caring

Details are in our Caring findings below.

Responsive

Outstanding

Updated 7 November 2019

The service was exceptionally responsive

Details are in our Responsive findings below.

Well-led

Good

Updated 7 November 2019

The service was well-led

Details are in our Well-Led findings below.