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Inspection Summary


Overall summary & rating

Inadequate

Updated 9 September 2020

About the service

The Otterhayes Trust provides accommodation and personal care for a maximum of six people living with learning disabilities and/or autism in a property known as Hayes House. At the time of the inspection there were five people living in Hayes House. This service also provides a domiciliary care agency service and provides support to a further 15 people living in seven supported living properties, with the aim that they can live as independently as possible. Two people living in the supported living properties were receiving personal care.

Our inspection carried out in September and October 2019 found that the service did not always apply 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.

This targeted inspection found the principles and values of Registering the Right Support and other best practice guidance had started to be implemented to ensure people lived as full a life as possible.

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

During the inspection we spoke with two senior care staff. Following the inspection we spoke by telephone to six more. Overall staff said since the last inspection there had been some clear improvements. These included updated training on all key areas such as person centred planning, epilepsy, autism, infection control and safeguarding. Everyone we spoke with said this had been good and most could give an example of how this had impacted on their practice. For example, ensuring people could choose their own menus, choice of drinks, where they would like to go.

Staff said there had been improvements in the way they documented how they were working with people. Several staff said they had always worked in an inclusive and person centred way but they had not been good at documenting this.

At our last inspection there was a lack of adequate staff to meet peoples' needs placed people at risk. This targeted inspection found improvements had been made with staffing reflective of individual needs.

Staff said the management approach was moving towards being a listening and supportive approach. One staff member said, "The managers are respectful of staff, it seems to me they have worked very hard and when issues have been raised they have tried to address them."

Our observations of people showed staff interacting in a kind and respectful way. People appeared comfortable in their surroundings and several of them happily showed us their rooms and their homes which they were very proud of. During this inspection we spent a short time speaking with people who use the service and observing how staff interacted with them. It was clear people were comfortable in their surroundings. Staff appeared to have good relationships with people and interactions were kind and responsive.

Plans were starting to be more person centred but this was still work in progress. Some of the information within plans was repetitive and long winded. Information at the start of one plan began with their negative behaviours. This is not in keeping with best practice for person centred care plans.

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.

At our last inspection there were widespread and systemic failings identified; there were ten breaches of regulations. The shortfalls related to all the key aspects of the management of the service and included: safeguarding; safe care and treatment; person centred care; privacy and dignity; staffing; staff recruitment; complaints; statutory notifications, and good governance. This targeted inspection found improvements had started to be made. The service had b

Inspection areas

Safe

Inadequate

Updated 9 September 2020

At our last inspection we rated this key question inadequate.

We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.

Effective

Inadequate

Updated 9 September 2020

At our last inspection we rated this key question inadequate.

We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.

Caring

Inadequate

Updated 9 September 2020

Responsive

Inadequate

Updated 9 September 2020

At our last inspection we rated this key question inadequate.

We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.

Well-led

Inadequate

Updated 9 September 2020

At our last inspection we rated this key question inadequate.

We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.