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Inspection Summary


Overall summary & rating

Good

Updated 28 March 2020

About the service

Baronsmede is a care home that provides accommodation and personal care support for up to nine adults with learning disabilities. The service specialises in the care of people who have a learning disability and complex needs including communication, physical health and challenging behaviour. At the time of our inspection eight people were living at the service.

Baronsmede is a detached house located within Crowborough village. The service operates over two floors and had been fully adapted to meet the needs of people who lived there. People had their own bedrooms and bathrooms and shared the communal areas and garden.

The service had been open for over 30 years and therefore had not been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. The outcomes for people using the service reflected the principles and values of Registering the Right Support and other best practice guidance. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, inclusion and independence. People using the service received planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s support focused on them having as many opportunities as possible to gain new skills and become independent. The provider supported people to develop skills that enabled them to have a more independent life style. Some people had successfully moved into their own accommodation, and the provider was in the process of changing the environment into a smaller residential service with separate supported living accommodation for five people.

The service was a large domestic style property. It was registered for the support of up to nine people. Eight people were using the service. This is larger than current best practice guidance. However, the size of the service did not have a negative impact on people. There was a large communal lounge, dining room and conservatory and people had their own personalised rooms. There was also a separate lounge with a kitchenette and dining area which people used to enhance their own independence. This facility enabled people to prepare their own meals and snacks and spend with friends. There was a self-contained flat upstairs that enabled people to prepare for their journey into independent living. An extension had also been built to provide a bespoke environment for one person. The building design fitted into the residential area and there were deliberately no identifying signs 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

We received overwhelmingly positive feedback about the leadership of the service. There was a visible person-centred culture which was truly imbedded within the ethos of the service. The registered manager and staff team were highly motivated and proud of the service they delivered to people. There was a strong commitment to ensure the service was inclusive and people had the opportunity to develop new skills and community connections.

People received personalised care that was exceptionally responsive to their needs. There was a strong sense of leadership in the service that was open and inclusive. The provider focused on achieving exceptional outcomes for people and their staff.

There were high levels of satisfaction amongst people and relatives who used the service. Everyone we spoke with said they would recommend the service to others. Comments from relatives included “I am so lucky to have found Baronsmede, it is brilliant” and “I can’t speak highly enough of it, everything they do is just wonderful” There were consistently high levels of engagement with people using the service, families and other professionals

Inspection areas

Safe

Good

Updated 28 March 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 28 March 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 28 March 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 28 March 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 28 March 2020

The service was well-led.

Details are in our well-Led findings below.