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Inspection Summary


Overall summary & rating

Good

Updated 25 July 2018

Abelands is a residential care home registered for nine people living with a learning disability, complex needs, autism, sensory impairment or mental health conditions. At this inspection on 30 April 2018, there were eight young men living at the home. The registered manager said it was “not planned to be all male but has evolved that way”. Accommodation is a mixture of individual rooms with en-suites and self-contained premises. 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.

At our last inspection on 01 December 2015, we rated the service good. At this announced inspection on 30 April 2018, we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Systems and processes were in place to safeguard people from abuse. Staff had a good understanding of the signs of abuse. Accidents and incidents continued to be recorded and analysed and action taken to improve and learn when issues were identified. Risks, including risks from medicines and behaviour that could challenge, continued to be identified and action taken to reduce these. People were supported to take positive risks which improved their quality of life. For example, one person with complex needs could not go out into the community at a previous home. Staff worked with the person to understand their needs, risks and supported them in managing their behaviour. This person can now access the community safely with the support of staff which has had a positive impact on their life.

People's care was provided in line with the Mental Capacity Act (2005) and staff understood the importance of gaining appropriate consent for care and treatment. Staff were knowledgeable and trained to meet the needs of people living at the home. Assessments of people's needs were in place and included assessments of any health-related needs as well as any behavioural needs. People's dietary needs continued to be met and any specific dietary needs were identified. When people required healthcare from other professionals this was arranged to ensure people received timely support. One person was supported to have their blood taken in a way that supported their needs and reduced their anxiety. The bloods were taken at the home in a safe environment for the person and a member of staff had their blood taken to show the person what would happen. This reduced their anxiety and ensured they had access to the healthcare they required.

Staff continued to have a caring approach with people and understood them well. Staff promoted people’s independence and respected their individuality. One relative said of their son, “He has been given independence by living at Abelands and is able to take opportunities to broaden his horizons. Abelands has given us all a life it has changed the whole family’s life in a positive way.” People were supported to be actively involved in decisions about their care, support and wellbeing. People’s privacy and dignity continued to be respected. People were protected from discrimination. One relative said “‘My son is treated fairly, there is no discrimination at Abelands. Everyone is accepted for who they are.” Staff respected people’s human rights, equality and diversity. Staff gave us examples of how they supported people’s diverse needs including those related to disability and sexual orientation. One staff member said, “people are supported to express their feelings and we discuss topics such as sexuality and gender at resident’

Inspection areas

Safe

Good

Updated 25 July 2018

The home remains good.

Effective

Good

Updated 25 July 2018

The home remains good.

Caring

Good

Updated 25 July 2018

The home remains good.

Responsive

Good

Updated 25 July 2018

The home remains good.

Well-led

Good

Updated 25 July 2018

The home remains good.