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Inspection Summary


Overall summary & rating

Good

Updated 9 October 2019

About the service

The Holt is registered to provide accommodation for up to six adults with learning disabilities, autism and associated complex needs. Six people were using the service.

The Holt was a large home, bigger than most domestic style properties. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

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

The provider had systems in place to safeguard people from abuse. Staff demonstrated an awareness of each person's safety and how to minimise risks for them. Medicines were managed safely. Accidents and incidents were monitored to identify and address any patterns or trends to reduce the risk of reoccurrence. Systems were in place to recruit staff safely. People were supported with good nutrition and could access appropriate healthcare services. Staff were equipped with relevant skills.

People were supported by staff who were kind, caring and treated them with dignity and respect. People were relaxed and happy in the company of staff and the registered manager. People received person-centred care from staff who developed positive, meaningful relationships with them. People had opportunities to socialise and participate in activities of their choosing. Care plans were detailed and up to date about people's individual needs and preferences. The environment was free from malodours. People had personalised rooms.

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.

Staff felt listened to and supported by the registered manager. There was a drive to improve the service for people. People using the service and staff had the opportunity to feedback about the service. There was a system in place to respond to any concerns.

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.

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

Rating at last inspection

The last rating for this service was requires improvement (published 10 September 2018).

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 9 October 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 9 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 9 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 9 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 9 October 2019

The service was well-led.

Details are in our well-led findings below.