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Inspection Summary


Overall summary & rating

Good

Updated 27 September 2019

About the service

Kempsfield Residential Home was providing accommodation and personal care for people with a learning disability at the time of the inspection. The home is located in a residential area with its own gardens.

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 20 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 fitting into the residential area. Staff were discouraged from wearing anything that suggested they were care staff when coming and going with people. The provider had recognised the limitations of the building and had well developed plans to build and move people to supported living accommodation in the grounds. All people had been fully consulted about the plans.

The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement. As part of thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people. The service used positive behaviour support principles to support people in the least restrictive way. No restrictive intervention practices were used.

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

People were provided with a person-centred service, which was responsive to their needs and wishes. People told us they felt safe and staff were kind and caring. Staff understood how to protect people from harm or discrimination and had access to safeguarding adults’ procedures. There were sufficient numbers of staff deployed to meet people's needs and ensure their safety. The provider operated an effective recruitment procedure to ensure prospective staff were suitable to work for the service. The staff carried out risk assessments to enable people to retain their independence and receive care with minimum risk to themselves or others. People were protected from the risks associated with the spread of infection. People received their medicines safely. The provider had arrangements in place for the maintenance and upkeep of the building.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People’s needs were assessed prior to them using the service. The provider had appropriate arrangements to ensure staff received training relevant to their role. New staff completed an induction training programme. Staff felt well supported by the management team.

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

Inspection areas

Safe

Good

Updated 27 September 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 27 September 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 27 September 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 27 September 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 27 September 2019

The service was well-led.

Details are in our well-led findings below.