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Inspection Summary


Overall summary & rating

Good

Updated 19 February 2020

About the service

Bannister Farm Cottage is a care home providing accommodation and personal care for up to five people who are over 18 years old and require support with learning and physical disabilities. People who used service have associated conditions that may include, autism, sensory and communication difficulties. At the time of the visit there were five people staying in the home.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. 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 receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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

Before and after the inspection we received concerns regarding the management approach and the culture at the home from some staff. Some staff did not always feel valued by the managers and felt their concerns would not be dealt with appropriately. We made a recommendation about the culture and management style.

The provider had a governance system which helped to monitor progress and to drive improvements. The service worked in partnership with a variety of agencies to ensure people received all the support they needed. People were happy with how the service was managed.

People were protected from the risk of abuse and avoidable harm by staff who understood how to recognise, respond and report concerns. Allegations of abuse had been dealt with in a robust manner to assure people about their safety. People’s relatives told us their family members were safe. Risk assessments had been developed to minimise the potential risk of avoidable harm to people during the delivery of their care. People were safely supported to receive their medicines as prescribed. The registered manager had robust and safe recruitment procedures. The provider monitored the safety of the premises.

People received person-centred care, which was responsive to their needs. Care records were well written and contained important details about people’s needs. Staff supported people with meaningful day time activities inside the home and in the local community. People's individual communication needs had been assessed and staff had tools to assist their interactions with people. The registered manager dealt with people's concerns and complaints appropriately.

People's care and support had been planned in partnership with them and their relatives. Staff had received regular training and supervision to support them in their roles. Before the inspection we had received concerns about staff training in the use of restraint. This had been resolved. 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.

People’s relatives were positive about the service and said staff were kind and caring. People were treated with dignity and respect and their right to privacy was upheld. The registered manager worked in partnership with people and their advocates.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was requires improvement (published 20 February 2019).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 19 February 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 19 February 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 19 February 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 19 February 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 19 February 2020

The service was not always well-led.

Details are in our well-Led findings below.