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Inspection Summary


Overall summary & rating

Good

Updated 22 November 2019

About the service

Sitwell Grove is a care home providing personal care and accommodation for up to four people who live with learning disabilities. There were four people using the service including one person who was receiving hospital care and treatment at the time of the inspection. Public transport services and a range of shops are located close to the home.

The service is also registered to provide personal care to people living in supported living services. At the time of this inspection the registered manager told us no one living in the supported living services needed support with their personal care. The Care Quality Commission (CQC) only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

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 received planned and coordinated person-centred support that was appropriate and inclusive for them.

The Secretary of State has asked the 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.

As part of the thematic review, we carried out a survey with the registered manager and deputy manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people. The service did not use any restrictive intervention practices.

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

People's care was planned with the full involvement of people using the service and when applicable their relatives. People were encouraged and supported to lead and direct their care. They received a service which was personalised and met their individual needs and preferences.

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’s relatives told us that people were cared for by competent staff who were kind, understood each person’s individual needs and provided people with personalised care and support.

Management staff worked in partnership with relatives and other agencies to support people's needs including good health and well-being.

Staff knew what their responsibilities were in relation to keeping people safe. They knew how to recognise and report any concerns they had about people's welfare.

The service assessed and managed risks to ensure that people received personal care and support safely. People were provided with the support they needed to take risks safely without restricting their independence.

Staff undertook training that supported them to have the knowledge and skills to do their job well and effectively meet people's needs.

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 chose what to eat and drink and received the infor

Inspection areas

Safe

Good

Updated 22 November 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 22 November 2019

The service was effective.

Details are in our effective findings below

Caring

Good

Updated 22 November 2019

The service was caring.

Details are in our caring findings below

Responsive

Good

Updated 22 November 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 22 November 2019

The service was well-led.

Details are in our well-led findings below.