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Inspection Summary


Overall summary & rating

Outstanding

Updated 17 March 2018

Chitty Barn is a care home. 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. The service is registered for three people with complex learning disabilities and who, at times, may present behaviours which can challenge. The service is a bungalow in the centre of Dover. The front door of the home leads directly into the living room. There are three bedrooms, a kitchen, bathroom and separate laundry room. Outdoor space is limited as there is no back garden and a paved forecourt at the front of the service. At the time of the inspection two people were living at the service.

At the last inspection, the service was rated Good. At this inspection we found in some areas the service remained Good whilst in others the service was Outstanding.

Chitty Barn has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as and citizen.

People living at Chitty Barn had complex needs, which included restrictive routines which impacted on their daily lives which could at times last for many hours. With the help of health care professionals, individual behaviour training sessions and consistent staffing this behaviour had been reduced and people were now able to access the community, and visit their local GP.

At times people could become anxious which led to their behaviour becoming challenging. Without the correct support this could have a negative effect on themselves and others. The service was working with health care professionals to support people in the least restrictive ways as possible.

Staff were passionate about how to uphold people’s rights and supporting them to have control over their lives. They demonstrated awareness about people having the same opportunities as themselves to lead fulfilling lives of their choice.

The provider had a positive approach to support people to reach their full potential, whilst reducing risks and keeping them safe. Staff had a good understanding of how to protect people from harm whilst upholding their rights to make choices and take risks to enhance their lives and seek new adventures.

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

People said they felt safe living at Chitty Barn. Staff had completed training on how to keep people safe and understood their responsibility to report any incidents to the management. Robust systems were in place to make sure people’s finances were protected.

Checks on the premises were in place, including cleaning schedules, to reduce the risk of infection and keep the premises clean. Repairs to the premises were recorded and acted on promptly to make sure the premises were safe. The design of the premises was based around a family home and. adaptations had been made to some of the furniture to reduce the risk of people harming themselves and others if they displayed behaviour that could be challenging.

Accidents and incidents were recorded and sent electronically to the management team for further assessment. This enabled them to look for patterns and trends, take any further appropriate action and learn from incidents when things went wrong.

People received their medicines from trained competent staff. Medicine records were clear, checked and in good order to ensure people received their medicines safely. People’s medicine was reviewed regularly to make sure they were receiving the right medicines they needed to keep well.

When people came to live at the service a thorough care needs assessmen

Inspection areas

Safe

Good

Updated 17 March 2018

The service remains safe

People were protected from the risks of abuse and discrimination.

Risks to people living at Chitty Barn had detailed plans in place to minimise risks in the least restrictive ways.

Checks were in place to ensure the premises was clean and safe.

Accidents and incidents were recorded and analysed so that lessons would be learnt when things went wrong.

Staffing levels ensured that people received the care and support they needed. Staff were recruited safely.

People received their medicines safely.

Staffing levels ensured that people received the care and support they needed. Staff were recruited safely.

People received their medicines safely.

Effective

Good

Updated 17 March 2018

The service remains effective.

People received effective care from trained staff.

People�s care was developed in line with current guidance and good practice.

Staff supported people to maintain good health and access health care services.

People were supported to eat healthily and be involved in the menu planning.

Staff supported people to make decisions in their best interests.

Caring

Good

Updated 17 March 2018

The service remains good.

The culture of the service was one of personalised care treating people with mutual respect, empathy and kindness.

People had positive relationships with staff and were involved in all aspects of their care.

Staff actively encouraged people to be independent and develop and learn new skills in in all areas of their life.

People were supported to develop relationships with friends and family and given the opportunity to try new experiences.

Responsive

Outstanding

Updated 17 March 2018

The service was extremely responsive.

People�s care was person centred with an emphasis of involvement and understanding.

People�s care was consistently and regularly reviewed to ensure their wishes and preferences were taken into account.

All aspects of people�s care was personalised, enabling them to lead their lives in the way they wished to.

People were actively encouraged to enjoy activities of their choice and experience new opportunities.

People did not have any complaints and were confident to tell staff if they had any concerns

Well-led

Outstanding

Updated 17 March 2018

The service was extremely well-led.

The leadership and management of the service was outstanding, with an emphasis on mutual respect for everyone involved in the service.

The philosophy of the service was to encourage people to progress in their abilities and to lead more independent lives.

Everyone involved in the service was encouraged to voice their opinions and contribute to the continuous improvement of the service.

Robust auditing procedures were in place to assess the quality of care being provided.

Health care professionals commented the service was an excellent provider.