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Inspection Summary


Overall summary & rating

Good

Updated 15 January 2020

About the service

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 service was a large home, bigger than most domestic style properties. It was registered for the support of up to ten people. Nine people were using the service. This is larger than current best practice guidance. However,. the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size.

People’s experience of using this service and what we found

Significant improvements had been made in all aspects of the management of the service since the last inspection. The provider and management team were working to ensure the improvements were embedded. This included the development of an open, transparent and positive culture, where staff felt valued and supported. There was a comprehensive quality assurance programme. Clear processes were now in place to ensure effective monitoring and accountability.

Environmental improvements had been made and were continuing. The laundry was now hygienic and promoted the prevention of infection. A comprehensive refurbishment of communal areas was underway.

We observed people were supported by sufficient numbers of suitably trained and competent staff. A retention plan was in place to address concerns around a high staff turnover and high rates of sickness. This ensured the right staff were recruited and they received the support they needed to carry out their role. Recruitment and retention were improving, and there was now a stable core team of staff who knew the people they supported well.

Staff had received training which gave them the knowledge, confidence and skills to support people safely and effectively. A visiting therapist commented on the difference this had made to the safety of the service, saying, “Now the staff seem fully engaged and the fear has completely gone. The service users seem a lot happier. I see them smiling and that speaks volumes.”

Staff were recruited safely, and safeguarding processes were in place to help protect people from abuse. Risks associated with people's care had been assessed and guidance was in place for staff to follow. Care plans were detailed, person centred and reviewed regularly with people and their relatives where appropriate. The format had been revised, and staff told us they were now much easier to read. There were systems in place to ensure information about any changes in people’s needs was shared promptly across the staff team.

People received their medicines safely, and in the way prescribed for them. The provider had good systems to manage safeguarding concerns, accidents, infection control and environmental safety.

The provider had introduced a ‘positive culture pledge’, which pledged to provide compassionate care with dignity, respect and kindness. All interactions we saw were in line with this pledge. Staff promoted people’s privacy and dignity, enabling them to make choices and have as much control and independence as possible. There had been a focus on supporting people to develop their communication, so they had a voice. This had a positive impact on the people using the service in terms of decreased levels of anxiety and distress, and more control over their lives.

People were supported to engage in a wide range of activities both within the home and the local community, which maximised their quality of life.

Staff worked effe

Inspection areas

Safe

Good

Updated 15 January 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 15 January 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 15 January 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 15 January 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 15 January 2020

The service was well-led.

Details are in our well-led findings below.