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Inspection Summary


Overall summary & rating

Good

Updated 14 December 2019

About the service

Gate House is a purpose-built residential care home providing accommodation and personal care to six people with a learning disability. The service can support up to seven people.

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 and physical 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.

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

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

People appeared happy and relatives told us they were pleased with the care and support received. A relative told us, “I take my hat off to the staff, they work in a sometimes difficult environment and they always do it with kindness and a smile”. Staff were friendly and attentive to people’s needs and our observations showed there were enough staff to meet people’s needs. Staff were trained and felt supported.

People felt safe and staff were aware of how to promote people’s safety. Regular checks were in place to ensure staff worked in accordance with training and health and safety guidance adhered to.

The environment had plenty of communal space for people to enjoy. People enjoyed the activities that were provided, staff told us there were many opportunities for people to go out and people were living fuller lives. A relative told us, “[Registered manager] has even got [my relative] going to the gym regularly. I’m amazed, he’s never liked exercise. They really know how to motivate him”.

People were involved in planning their care and their views and preferences were acted upon. Feedback about the registered manager and staff team was positive. There was an open culture in the service and an expectation that people were supported in a person-centred way. Staff were clear about their roles and the management team engaged well with the team and other agencies.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

The last rating for this service was Good (published 15 June 2017). At this inspection the service has remained rated as Good.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 14 December 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 14 December 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 14 December 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 14 December 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 14 December 2019

The service was well led.

Details are in our well led findings below.