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Inspection Summary


Overall summary & rating

Good

Updated 10 January 2019

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

Harefield Lodge is registered to accommodate up to seven adults, who have a learning disability or an autistic spectrum disorder. At the time of our inspection there were five people there. The home consisted of a main building with bedrooms, offices, a kitchen, a dining area and lounges. There were sensory areas and quieter places for people to spend time in if they wished. To the rear of the property there were self-contained flats where people could live and be supported by staff to live as independently as they could.

The service had been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained good overall and had become outstanding in response to the question, “Is the Service Responsive?”

Harefield Lodge had a registered manager. 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 an open, supportive and person-centred culture with good relationships amongst people and staff.

Most of the people who lived at Harefield Lodge communicated with nonverbal gestures, sounds and by touch. We spoke to one person who told us they enjoyed living at Harefield Lodge and liked everyone who lived and worked there. We received positive feedback from relatives and health professionals who visited the home regularly.

People were supported by appropriate numbers of trained, experienced, skilled staff who knew the people who lived at Harefield Lodge very well. Staff supported people to ensure they lived their lives the way they chose. Communication styles and methods were tailored to individual people and staff supported people to understand the choices available to them.

The service had carefully considered people's individual needs through the adaptation, design and decoration of the premises, indoors and outdoors. The garden was in the process of being adapted to reflect people’s preferences with plans to include sensory areas, quiet reflective areas and containers and vegetable growing sections where people could take part in growing and tending to their own vegetables and plants.

There were elements of outstanding practice in relation to providing person centred care that met people's individual needs. People received outstanding person-centred care from a staff team that showed innovation and tenacity to ensure people received care and support tailored to their specific needs to enable them to live fulfilled lives. People were encouraged and supported to take part in a wide range of activities, music therapy, sensory sessions and visits to places that gave them enjoyment. Activities were adapted according to people’s individual needs to ensure they got the most benefit and enjoyment from the activities. People and staff told us they really enjoyed their activities which promoted their inde

Inspection areas

Safe

Good

Updated 10 January 2019

The service remains Good.

Effective

Good

Updated 10 January 2019

The service remains Good.

Caring

Good

Updated 10 January 2019

The service remains Good.

Responsive

Outstanding

Updated 10 January 2019

The service has improved to Outstanding.

Well-led

Good

Updated 10 January 2019

The service remains Good.