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Inspection Summary


Overall summary & rating

Good

Updated 11 October 2019

About the service

202 Weston Road is a residential care home providing personal and nursing care to four people who had a learning disability and/or autism at the time of the inspection. The care home accommodates four people in one adapted building.

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

People were supported by safely recruited staff, who had the skills and knowledge to provide effective support. Staffing levels were regularly reviewed to ensure there were enough staff available to meet people’s needs. People’s medicines were managed, and staff followed infection control procedures.

The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement

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As part of thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people. The service used positive behaviour support principles to support people in the least restrictive way. No restrictive intervention practices were used.

Effective care planning and risk management was in place which guided staff to provide support that met people’s needs and in line with their preferences. 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.

People were supported to access healthcare professionals and advice received was followed by staff. There were systems in place to ensure people received consistent care and support.

People were supported by caring staff who promoted choices in a way that people understood, this meant people had control and choice over their lives. Staff provided dignified care and respected people’s privacy. People’s independence was promoted by staff.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

People were involved in the planning and review of their care. Staff followed care plans to ensure they provided support in line with people’s wishes and diverse needs. People’s communication needs were met, and information was provided in a way that promoted people’s understanding. There was a complaints system in place which people understood. The registered manager had a system in place to gain people’s end of life wishes.

Systems were in place to monitor the service, which ensured

Inspection areas

Safe

Good

Updated 11 October 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 11 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 11 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 11 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 11 October 2019

The service was well-led.

Details are in our well-Led findings below.