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Stonham Kingston House Outstanding

Inspection Summary

Overall summary & rating


Updated 15 September 2018

Stonham Kingston House was inspected on 4 July 2018 and was announced. We gave the service 48 hours’ notice of the inspection as this was a small service and we wanted to ensure management and staff were available to speak with us.

Stonham Kingston House is a domiciliary care agency. It provides personal care to a maximum of 6 people, who live in their own flats. It provides a service to people who may be living with a learning disability, mental health conditions or a drug or alcohol problem. Some people share their flats with another tenant. The property is split into three flats, a resource room, a bedroom for sleep in staff and an office. The flats comprised of two bedrooms and people shared a shower room, toilet, lounge/kitchen/dining area and hallway. At the time of the inspection, five people were receiving support.

The care service 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 any citizen.

Stonham Kingston House was last inspected on 6 January 2016. The overall rating for the service was good. This inspection has found the service has improved it’s rating from good to outstanding.

There was a registered manager in place at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The caring and inclusive culture at the service was outstanding. Without exception, people spoke very highly of the staff; they developed honest and genuine caring relationships with people using the service. Staff recognised people as individuals and went the extra mile to welcome and include them in the service. Staff considered all aspects of people’s lives and not just the care and support they required. The service had a fantastic approach to equality, diversity and human rights whilst supporting people to identify and address discrimination.

People were supported to achieve their goals, through excellent person-centred care. Positive risk taking was encouraged throughout the service, balancing the potential benefits and risks of choosing particular actions over others; allowing people to reach their full potential through greater independence. Innovation and creativity was used in meeting people’s needs and staff used happiness as a preventative strategy to crisis. Strong community inclusion enabled people to live fulfilled and meaningful lives, through accessing a wide variety of local activities, education and volunteering opportunities.

The service was exceptionally well-led by a registered manager who led by example and had embedded an open and honest culture. Staff were committed to working at the service as the management team valued and invested in them. Quality assurance systems were robust and used regularly by the registered manager and the provider. They shared best practice and strove to continually improve the service. The provider created opportunities for people to monitor and inspect the service; developing the service in the way that mattered to the people who used it. Improvements were driven by engagement with people using the service and staff; their views were valued and drove positive changes within the service.

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 supported this practice. People’s choices and decisions were respected. Staff sought consent and followed the Mental Capacity Act 2005 when people were unable to make

Inspection areas



Updated 15 September 2018

The service was safe.

Staff had the skills and knowledge to safeguard people from the risk of harm and abuse. They had completed relevant training and knew how to report concerns.

The service facilitated positive risk taking in a safe way. People received their medicines as prescribed.

Staff were recruited safely and there were sufficient numbers of staff who had the skills to meet people�s needs.



Updated 15 September 2018

The service was effective.

People�s choices and rights were respected. Consent was sought and staff worked within the Mental Capacity Act 2005.

Staff had a wide variety of skills to meet people�s nutritional, cultural and religious needs. They received on-going training and development to enable them to deliver effective care and support.

The service was accommodating and welcoming to people transitioning to the service. People�s health care needs were met by support from staff to access health care services.



Updated 15 September 2018

The service was extremely caring.

People who used the service and their relatives consistently said staff were very inclusive, caring and treated people with respect and dignity. Very positive, trusting relationships were formed and valued by people who used the service and staff.

The service had an outstanding approach to equality, diversity and human rights. People who used the service were supported to gain skills to identify and challenge discrimination.

Creative communication tools and technology was used to achieve positive outcomes for people.



Updated 15 September 2018

The service was incredibly responsive.

A vast range of highly positive outcomes for people was achieved as the service supported them to reach their potential.

People were at the heart of care planning and creative tools were used to support people in positive ways. Care and support was tailored to each individual and they were encouraged to pursue their hobbies, interests and education.

Strong links were established with local communities and organisations. As a result, people who used the service were valued members of the local community.

Complaints were listened to and addressed and drove positive learning and development within the service.



Updated 15 September 2018

The service was exceptionally well-led.

The registered manager led by example and operated an open and honest culture; they had embedded positive values throughout the service. People who used the service, relatives and staff all found the management approachable and had confidence in their leadership.

People who used the service were actively encouraged to change the service in ways that mattered to them.

Staff were supported to maintain their wellbeing and were invested in by the service. They felt valued and were highly motived working as part of a team.

Governance and audit systems were excellent and maintained the delivery of high-quality care and support through identifying and rectifying shortfalls.