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Archived: 21 High Street Good


Inspection carried out on 25 January 2017

During a routine inspection

This inspection took place on 25 January 2017 and was announced.

21 High Street is a residential care home accommodating up to three adults with learning disabilities. There was a registered manager in post. 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.

In addition to the registered manager, the person received support from the provider. As these were the only two staff working at the home they are referred to as the registered manager and the provider in the report. The philosophy of the service is to assist people to gain skills to live a more independent life. The previous two people moved out into more independent living in 2015 and 2016.

People were safe. The registered manager and provider understood their role and responsibilities to keep people safe from harm. Risks were assessed and plans put in place to keep people safe. There were enough staff to safely provide care and support to people.

Medicines were well managed however the person living at the home did not have any prescribed medicines. Emergency systems had been put in place to keep people safe.

People had also been assisted to move to more independent living by the service. We were provided with evidence of incidents where people had been cared for in a supportive and flexible manner which allowed them to move on to more independent living.

Information was provided in a way that made it easier for people to understand. The registered manager and provider took time to reword things when people didn't initially understand. We saw that people had choice and control over their lives and that the registered manager and provider responded to them expressing choice in a positive and supportive manner.

Arrangements were made for people to see their GP and other healthcare professionals when required. People’s healthcare needs were met and the registered manager and provider worked with health and social care professionals to access relevant services. The service was compliant with the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS).

People received a service that was caring. They were cared for and supported by the registered manager and provider who knew them extremely well. The registered manager and provider treated people with dignity and respect. People’s views were actively sought and they were involved in making decisions about their care and support. Information was provided in ways that was easy to understand. People were supported to maintain relationships with family and friends.

The service was responsive to people’s needs. People received person centred care and support. People were encouraged to participate in employment and leisure activities. People were encouraged to make their views known and the service responded by making changes. Transitions for people moving from the service were well planned. The registered manager and provider had worked to ensure people had access to healthcare services.

People benefitted from a service that was well led. The provider had systems in place to check on the quality of service people received and any shortfalls identified were acted upon.

Inspection carried out on 14 November 2013

During a routine inspection

We spoke to both to both of the people who lived at the home. We also spoke to one of the providers.

People told us they were satisfied with the service they received at the home. People said they attended a range of occupational and social events in the community.

People said they were consulted about their care and support and had regular opportunities to discuss their needs and preferences.

We saw that each person�s needs were assessed and reviewed and that the home worked with other agencies to provide a coordinated approach to supporting people.

We looked at staff training and supervision. The home has just three staff; the registered manager, one of the providers and one care staff member. We found that training needed to be updated in subjects such as first aid and moving and handling.

People had opportunities to raise issues about the home and to discuss how the home operated at the weekly house meetings.

Inspection carried out on 3, 6 October 2012

During a routine inspection

We spoke to two people. Both told us they liked living at the home.

People said they were able to make choices in how they spent their time, such as times for getting up and going to bed. One person said there was flexibility in meal times, menus and social events. One person told us the home was, �flexible and relaxed�.

People said there were weekly house meetings where discussions about how the home was run took place. People said they were able to make decisions about the menu plans and other daily routines.

People said they took part in domestic activities such as cooking meals with staff assistance. One person said, �I like cooking with the staff. I can make my own drinks.�

Discussions with people showed they attended a range of community facilities such as employment, social events, day trips and holidays. People described how they were supported with their hobbies which involved listening to music, going to concerts and visiting friends.

People said they received the care and support they needed. People also said the staff treated them well.

People said they liked their bedrooms which gave them a private space with their own belongings.

People said they knew how to raise any concerns and confirmed they had a copy of the home�s complaints procedure. People said they did not have any concerns and felt safe at the home.