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Inspection Summary


Overall summary & rating

Good

Updated 26 April 2019

About the service:

Pier View House is an on-site residential unit that provides accommodation and care for up to four people who attend St Johns College. St Johns is a special educational needs (SEN) school and specialist college that provides education, care and medical therapy to young people aged 7 to 25, who have a wide range of complex learning disabilities, including autism and related autistic spectrum conditions (ASC). The provider refers to people using the service as learners, which they will be referred to throughout the report. At the time of inspection Pier View House provided care and support to four learners, for up to 52 weeks per year. Pier View was compliant with the values underpinned in Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. Learners had access to local amenities, facilitates and services such as healthcare and were supported to access these regularly.

People’s experience of using this service:

• Learners were consistently supported and empowered to make day to day decisions. Where appropriate learner’s consent was sought and their ability to be involved in decision making was recorded in care planning, however records did not always detail the decision-making steps taken when acting in individuals ‘Best Interest’. The manager took immediate steps to address this and implemented a detailed recording tool to support learners and staff. We have recommended that the provider review relevant legislation to improve recording and evidence of best practice guidance.

• Learners were supported to receive their medicines safety with support from appropriately trained staff for the role.

• Risks to learners and the environment were effectively managed though robust assessments and people were appropriately protected from the risk of abuse and avoidable harm.

• We received overwhelmingly positive feedback and relatives consistently told us their loved ones received exceptionally high quality, compassionate and outstanding care at Pier View House. This also included exceptional communication and genuine partnership working with learners and people that were important to them.

• The manager and support staff were extremely passionate and highly motivated in promoting positive outcomes for people and maximising learner’s independence at every opportunity. Learners at Pier View House were valued and treated as individuals and staff had a comprehensive understanding of their needs.

• The manager was committed to ensuring information was shared with learners in an accessible format including care plans, signage and developing meaningful communication tools. Engagement was at the heart of service delivery and integral to the manager and staff’s core values.

• Learners were supported to receive highly personalised care to meet their needs and care records were person-centred to reflect people’s likes, dislikes and preferences. Learners were regularly consulted and information was updated to reflect their achievements and development.

• Learner’s rights and freedoms were upheld and staff treated people with dignity and respect. The provider took a proactive approach to inclusivity and staff received additional training to promote antidiscrimination.

• Where learners required additional support to manage anxious, distressed and heightened behaviour, we saw robust care planning and proactive support offered.

• Learner’s had access to a wide range of activities to meet their interests, which were flexible to meet their individual needs. Learner’s had easy access to the local community and facilities and were supported to attend a range of events.

• The provider ensured the delivery of high quality care through robust quality assurance processes and there was good communication between the organisation.

• The service met the characteristics of Good across the safe, effective, responsive and well-led domain and consistentl

Inspection areas

Safe

Good

Updated 26 April 2019

The service was safe

Details are in our Safe findings below.

Effective

Good

Updated 26 April 2019

The service was effective

Details are in our Effective findings below.

Caring

Outstanding

Updated 26 April 2019

The service was exceptionally caring

Details are in our Caring findings below.

Responsive

Good

Updated 26 April 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Good

Updated 26 April 2019

The service was well-led

Details are in our Well-Led findings below.