You are here

Inspection Summary


Overall summary & rating

Inadequate

Updated 15 February 2020

About the service

Otterhayes is a 'care home' providing personal care and accommodation for up to six people living with learning disabilities, Down’s syndrome and/or autism. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. At the time of this inspection five people were living in the residential home known as Hayes House within a rural, private community with gates to prevent vehicles entering the grounds at speed.

Otterhayes also provides support under a supported living scheme for an additional 15 people with learning disabilities, Down’s syndrome and/or autism living in their own homes as tenants. These were seven properties within the private community, all with links to the provider. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided. At the time of our inspection the provider and registered managers did not understand what the regulated activity of personal care meant. We looked at the care provider to the 15 people living within the supported living scheme and found there were two people receiving personal care.

The service had not been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. The providers and registered managers had managed the service for many years supporting people living with learning disabilities, Down’s syndrome and/or autism. However, neither the providers or the registered managers had heard of Registering the Right Support at the time of our inspection. 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 did not receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

Following Registering the Right Support new services should not be developed as part of a campus style development such as Otterhayes as this does not follow best practice guidance. The negative impact on people was not mitigated by factors such as adequate staffing skills, effectiveness of management, and promotion of the principles of independence, choice and control.

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

Otterhayes is owned and managed by The Otterhayes Trust, a registered charity. Members of the same family have roles within Otterhayes. This includes the Trust chair, registered managers and support workers who also live on site. People, families and staff felt unsupported and unable to make complaints and be assured these were managed independently of the family. Other family members also worked as maintenance and support workers. Although management had tried to support staff with personal issues, professional boundaries with staff were blurred because robust processes were not in place. This had led to poor management of staff and low staff morale. Recruitment processes were not robust to ensure vulnerable people were safe and there was a lack of supervision and training to ensure people’s needs were understood and met.

Although there were some care plans, these were not always up to date, and staff did not use them as working documents to inform care delivery. Risks were poorly managed, and accidents/incidents were not always understood or recorded as such which put people and staff at risk.

There was a lack of person-centred care. Staffing levels were not reflective of people’s needs, there was no dependency tool to relate staffing levels to need. Staffing levels were set and not reviewed. People generally followed t

Inspection areas

Safe

Inadequate

Updated 15 February 2020

The service was not safe.

Details are in our safe findings below.

Effective

Inadequate

Updated 15 February 2020

The service was not effective.

Details are in our safe findings below.

Caring

Inadequate

Updated 15 February 2020

The service was not caring.

Details are in our safe findings below.

Responsive

Inadequate

Updated 15 February 2020

The service was not responsive.

Details are in our safe findings below.

Well-led

Inadequate

Updated 15 February 2020

The service was not well led.

Details are in our safe findings below.