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Inspection Summary


Overall summary & rating

Good

Updated 7 November 2020

About the service

Options Vernon is a residential care home that provides care and accommodation for people with learning disabilities. The service was a large home, bigger than most domestic style properties. It was registered for the support of up to 14 people. 12 people were living at the service on the day of our inspection. 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 fitting into the residential area and the other large domestic homes of a similar size. 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

Some people were not able to fully verbalise their views and used other methods of communication, for example pictures. Due to people's needs we spent time observing people with the staff supporting them.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

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 received personalised care and support specific to their needs and preferences. This had been effective in supporting people to achieve goals and encouraged them to learn and grow as individuals. People were protected from the risks of harm, abuse or discrimination because staff knew what actions to take if they identified concerns. There were enough staff working to provide the support people needed. Staff understood the risks associated with the people they supported. Risk assessments provided guidance for staff about individual and environmental risks. People received their medicines safely, when they needed them.

Due to the COVID-19 pandemic, the provider had ensured that appropriate infection control procedures for the pandemic were in place to keep people safe. This included increased cleaning and ensuring adequate supplies of personal protective equipment (PPE) were available. Staff completed training in relation to COVID-19. We were assured the provider managed infection prevention and control through the COVID-19 pandemic.

Despite the need to keep people safe during the COVID-19 pandemic taking priority, the provider and staff had worked hard to develop strong leadership. Quality monitoring systems had been embedded and morale was high amongst the staff team. We received positive feedback in relation to the care people received and how the service was run. One relative told us, “[My relative] and us are very content and happy. She has a great bond with the staff, and I get on great with the manager”.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was Good (published 28 February 2018). At this inspection we found no concerns in the key questions we looked at.

Why we inspected

We undertook this focused inspection on 22 September 2020 in light of concerns we had received in respect to the care people were receiving. Concerns included, support for staff, accidents and incidents not being reported appropriately and a negative and closed culture at the service. A decision was made for us to inspect and examine those risks. Therefore, this report covers our findings in relation to the Key Questions: Is it Safe? and Is it Well-led?. We found n

Inspection areas

Safe

Good

Updated 7 November 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 7 November 2020

Caring

Good

Updated 7 November 2020

Responsive

Good

Updated 7 November 2020

Well-led

Good

Updated 7 November 2020

The service was well-led.

Details are in our well-led findings below.