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Inspection Summary


Overall summary & rating

Outstanding

Updated 13 March 2019

We carried out an announced inspection of this service between 4 and 11 January 2019.

Yarrow Housing provides care and support to people living in supported living settings, so that they can live in their own home as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support. At the time of our inspection there were 74 people using the service. At our last inspection in March 2016 we rated the service ‘Good’. At this inspection we rated the service ‘Outstanding’.

The service 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.

People were empowered by the service. People using the service were supported to develop their independence and be involved in every aspect of running their homes. Person centred planning was well established in the service. People worked with staff to identify their goals and to achieve these, including being able to develop their interests and undertake activities and holidays of their choice. Activities were varied with an emphasis on community involvement and self-expression, including sport, art, video projects and music. People also had individual projects which reflected their own interests and were encouraged to develop these and take ownership.

People and their relatives told us that they were treated with kindness and respect by staff and we saw examples of extremely positive interactions. People had a good rapport with staff and knew them well and were confident in approaching managers for advice or to share news.

People’s goals and achievements were celebrated, and people were encouraged to take their successes a step further. Managers in the service placed a strong and continuing emphasis on co-production, which meant initiatives to improve and develop the service included people and their families throughout. The provider was routinely developing and thinking of new ways to improve and introducing new models for support. People found managers to be visible and approachable.

People were supported to maintain good health. People had chosen to become more active in their chosen way and to eat healthily, and spoke with pride about how their lives had improved as a result. The provider worked with local organisation and people using the service in order to hold events aimed at improving health awareness.

People were safeguarded from abuse and there was a strong culture of speaking up. When people had behaviour which may challenge others, the provider used its in-house expertise to develop plans to address and manage this and promote social inclusion. People were encouraged to look at risks positively to develop their independence and there was a systematic and skilled approach to developing independence and giving people ownership of their daily routines. Medicines were safely managed by staff who had the training and skills to do so, and this was regularly refreshed.

Staffing was available to safely meet people need’s and ensure they could do activities of their choice. Staff members received the training they needed to meet people’s needs and were encouraged to regularly reflect on their training and development needs.

People were able to express their preferences and consent to different aspects of their care, including when they received personal care and the gender of the person providing this. The provider worked in line with the Mental Capacity Act to assess people’s capacity to make specific decisions and to demonstrate how they were acting in people’s best interests.

There was suitable and varied oversi

Inspection areas

Safe

Good

Updated 13 March 2019

The service remained ‘good’ in this key question.

Effective

Good

Updated 13 March 2019

The service remained ‘good’ in this key question.

Caring

Outstanding

Updated 13 March 2019

The service remained ‘Outstanding’ in this key question.

Responsive

Outstanding

Updated 13 March 2019

The service was outstandingly responsive.

People were supported to achieve their goals and to have full choice and control over their daily lives.

People had been supported to obtain extraordinary achievements and lead fulfilling lives which were rooted in their communities.

The provider had considerable expertise in meeting the needs of people with behaviour which could challenge others.

Well-led

Outstanding

Updated 13 March 2019

The service was outstandingly well led.

There was a strong, open culture of joint working between managers, staff and people who used the service.

The provider constantly sought to try new ways of working and to be a model of good practice.

The provider operated robust and effective quality assurance processes to ensure that standards remained high.