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Inspection Summary


Overall summary & rating

Good

Updated 8 March 2018

The Lawns is a residential care home without nursing for up to nine people who live with a diagnosis of learning disability and/or autism. Some people living at The Lawns also have physical disabilities. At the time of the inspection there were nine people living at the service, all of whom had lived at the service for a number of years.

At the last inspection in October 2015 the service was rated overall Good. At this inspection we found the service remained Good in all domains.

People, their families, staff as well as health and social care professionals were very positive about the home and the care provided. Comments from people included “I like it here.” “Care worker is nice.” People were relaxed and happy with staff, laughing and chatting with them.

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

People were encouraged to do a range of activities both in the home and in the community. Staff worked with people to support them to choose what they wanted to do and who they wanted to do it with.

Staff knew people well and were kind and compassionate when working with people. Staff were knowledgeable about people’s communication methods. People were treated with dignity and people’s right to privacy was respected by staff. People’s diversity and wishes were understood by staff, including cultural and religious preferences. People were protected from the risks of abuse by staff who understood their responsibilities.

There was a registered manager in post. There was a quality assurance and governance framework which checked that the home was safe and well maintained. There were systems to ensure the home was kept clean and free of infection. There were also quality assurance systems which monitored the care provided to people. Where issues were identified, there were actions to address them. There were policies and procedures in place which ensured the smooth running of the service. The home had a complaints policy and process. People were supported to have an independent advocate where necessary.

There were sufficient staff who had the knowledge, skills and experience to support people with their care. Staff had been recruited safely. Staff were supported to undertake training when they first joined the home and to refresh their knowledge from time to time. Staff were also supported to do nationally recognised qualifications. Staff had regular one to one supervisions with a senior worker which gave them an opportunity to reflect on what was going well, what was not going so well and what support they needed to improve their work.

Care records contained risk assessments and care plans which described people’s personal background, risks, needs and preferences as well as how these should be met. Staff were able to describe how they worked with people to deliver the care in the care records.

People experienced effective care that promoted their health and wellbeing. People were encouraged to eat a healthy diet of their choice. Staff prepared meals to meet people’s special dietary needs. People were offered drinks throughout the day to ensure they remained well hydrated. People’s health needs were monitored and health professionals were involved where necessary. Medicines were stored and administered in a safe way. Staff recorded accurately when medicines were given. Checks were undertaken to monitor the medicine administration.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 8 March 2018

The service remains Good.

Effective

Good

Updated 8 March 2018

The service remains Good.

Caring

Good

Updated 8 March 2018

The service remains Good.

Responsive

Good

Updated 8 March 2018

The service remains Good.

Well-led

Good

Updated 8 March 2018

The service remains Good.