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Inspection Summary


Overall summary & rating

Good

Updated 21 February 2020

Fiveways is a small care home for five adults with learning disabilities sited in a residential area of the town. At the time of this inspection the service was full.

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 the service and what we found

We observed that people were calm, happy and relaxed during our inspection. Those who could told us about the things they liked to do when at home in the service and when out in the community. We saw that people with more limited verbal communication were able to make their needs and wishes understood by staff who understood their preferred means of communication. People received information in formats they could understand. They showed themselves to be comfortable around staff, approaching them to make requests for support.

We observed and heard staff speaking respectfully and kindly to people. Staff showed they understood people’s needs. New staff told us how they had spent time reading peoples plans when they first commenced work to help them understand peoples support needs Staff said they were kept informed about any changes to these at shift handovers and staff meetings, so they could continue to provide the care people needed.

Relatives and health and social care professionals spoke positively about how people were treated and cared for by staff. They told us that they were asked to contribute feedback about service quality which was analysed and published.

People ate well and enjoyed their meals. Easy read menus with pictorial prompts were developed to help them make meal choices. Any special dietary requirements were taken account of in meal planning.

Easier to read version of the complaints and safeguarding procedures were provided. People were asked by staff about any concerns they might have at resident meetings and when they spent one to one time with staff. Relatives told us they had not had cause to make a complaint and thought that any minor concerns they had raised had been dealt with immediately and resolved.

People had received support from staff and relatives to make known their preferences in how they would wish their last wishes to be carried out. These had been recorded and added to the support plan to ensure people received the care they wanted when they approached the end of their life.

Staff received an appropriate induction to the service, so they had the basic care skills and knowledge to support people safely. Training updates were provided to all staff at regular intervals. Staff had learned about abuse and how to respond to any suspicions they may have by raising and escalating alerts, they showed commitment to protecting people and keeping them safe.

There were enough staff available to support people’s individual needs safely and provide the appropriate level of support to them when at home and out in the community. Peoples consent was sought daily and where people lacked capacity appropriate authorisations had been applied for and obtained. People were supported to have maximum choice and control of their lives and care staff supported them in the least restrictive way possible and in their best interests. The policies and systems in the service supported this practice.

Staff showed respect for people’s privacy dignity and confidentiality and were alert to people’s wellbeing. They supported them to access health appointments and receive medical attention when needed. Accidents and incidents were recor

Inspection areas

Safe

Good

Updated 21 February 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 21 February 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 21 February 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 21 February 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 21 February 2020

The service was well-led.

Details are in our well-Led findings below.