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Inspection Summary


Overall summary & rating

Good

Updated 21 January 2020

About the service

Kingsley House is a residential care home providing personal care and support for up to 19 younger adults who have autism and a learning disability. At the time of the inspection there were 11 people living at the service with no plans to expand this number.

Kingsley House was formerly a special needs school. It is a large site with a number of buildings which allows people to have their own self contained house or flat as well as communal space and large grounds.

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.

The service was a large home, bigger than most domestic style properties. It was registered for the support of up to 19 people. Ten people were using the service. This is larger than current best practice guidance. However. the size of the service having a negative impact on people was mitigated by the building design meaning people had their own self-contained flats or houses. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

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

People experienced exceptionally responsive care and support from staff who were dedicated to ensuring people had fulfilling and engaging lives. Some of the people living at Kingsley House had experienced a number of unsuccessful placements before living here.

Without exception relatives and professionals agreed that Kingsley House offered people a high standard of care which was truly personalised and ensured people were afforded a person-centred approach which met their needs and wishes.

Staff were skilled and experienced at understanding people’s complex behaviours, rituals and ways of communicating. They spoke passionately about people’s achievements and progress to be independent. This was key to providing a successful and fulfilling lives for people.

The management team and staff genuinely cared for the people they were supporting. They advocated for them at every opportunity. They were there for them and their families at point of admission, when needing to transfer to hospital or at the end of their lives. They had recently achieved a national accredited training in end of life care. They had been commended for the effort they had put into ensuring one person could receive hospital treatment which was not thought previously possible to achieve.

People were valued and placed at the centre of the service. Staff promoted their privacy and dignity, enabling them to make choices and have as much control and independence as possible. The service used a variety of methods to facilitate this including supporting people with communication, assistive technology, providing information in an accessible format and a consistent staff team who knew people extremely well.

People’s holistic needs were very well met by a staff team who were well-trained and understood the ethos of ensuring person centred care. The provider ensured the staffing ratios remained high so the best possible care and support could be provided. Each person had their own core team of staff which ensured a consistent approach.

People received their medicines in a safe and timely way. Staff worked in the least restrictive way with people and this included ensuring any calming medicines were used only when needed, and once other aven

Inspection areas

Safe

Good

Updated 21 January 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 21 January 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 21 January 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 21 January 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 21 January 2020

The service was well-led.

Details are in our well-Led findings below.