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Otterhayes Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 19 February 2021

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. One person living in the supported living properties was receiving personal care

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.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the guidance CQC follows to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was able to demonstrate how they are working towards meeting the underpinning principles of right support, right care, right culture.

Right support: Model of care and setting maximises people’s choice, control and Independence. For example, people being encouraged to set goals for things they want to achieve.

Right care: Care is person-centred and promotes people’s dignity, privacy and human rights. For example, ensuring people are receiving person-centred care and support in line with individual care plans.

Right culture: Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives. For example, adopting ‘active support’ which is a method of enabling people with learning disabilities to engage more in their daily lives.

Although the service is larger than recommended, the introduction of positive support plans with health and social care professionals’ involvement; people’s preferences, hobbies and interests were now being considered. Individualised activities meant people were enabled to follow their interests' hobbies and passions as far as possible. However, this had been curtailed by the pandemic and lockdown restrictions.

People’s equality, diversity and human rights were respected. The service had adopted an ‘active support’ approach, which is accredited with the British Institute of Learning Disabilities (BILD). Active support is a method of enabling people with learning disabilities to engage more in their daily lives.

The service provided safe care to people. During our inspection we spent a short time speaking with people who used the service and observed how staff interacted with them. People were comfortable in their surroundings and with the staff group who supported them. Positive feedback was received from relatives. Relatives comments regards to safeguarding concerns included: “Absolutely none at all, if I did (relative) wouldn’t be there at all.”

Measures to manage risk were as least restrictive as possible to protect people’s freedom. People’s rights were protected because the service followed the appropriate legal processes. There was evidence that learning from incidents and investigations took place and appropriate changes were implemented. Medicines were safely managed on people’s behalf. Infection control measures were in place and taken seriously to protect people.

Care files were increasingly becoming more personalised to reflect people’s personal preferences. People had individual planners and communication boards in place to aid routines and communication. Goal setting for people continued to be implemented to ensure they lived the lives the

Inspection areas

Safe

Requires improvement

Updated 19 February 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 19 February 2021

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 19 February 2021

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 19 February 2021

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 19 February 2021

The service was not always well-led.

Details are in our well-Led findings below.