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Cabrini House 2 (Diagrama Healthcare) Good

Inspection Summary


Overall summary & rating

Good

Updated 16 October 2019

About the service

Cabrini House 2 is a ‘care home' providing accommodation and support for up to seven people with learning difficulties and or autism. There were seven people living there at the time of the inspection. Cabrini House 2 is one of three similar small homes owned by the provider in the same residential road.

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 building design fitted into the residential area with domestic homes of a similar size. There were deliberately no identifying signs, intercom, cameras or anything else outside to indicate it was a care home.

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

We found 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.

Relatives said they thought the home was well managed; although communication about some things did not always work smoothly. We found this had not impacted on people’s care. The registered manager told us they were working to improve communication. They understood their role and responsibilities. Staff spoke positively about the support they received from the provider and registered manager. They told us they worked well as a team and were well supported by the registered manager.

The provider had systems in place for monitoring the quality and safety of the service. People’s and their relative's feedback was sought informally and through an annual survey. The most recent survey showed that people felt supported and happy with the care they received

People told us they felt safe. Staff understood their roles in safeguarding people from harm. Risks to people had been assessed and staff knew how to manage these risks safely. Staff worked with people to support them to understand possible risks. There was a process to identify learning from accidents, incidents and safeguarding concerns.

There were safe recruitment practices that followed legal requirements. Medicines were safely administered and managed. Staff worked in ways to reduce infection risk.

People’s needs were assessed before they s

Inspection areas

Safe

Good

Updated 16 October 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 16 October 2019

The service was effective.

Details are in our effective findings below

Caring

Good

Updated 16 October 2019

The service was caring.

Details are in our caring findings below

Responsive

Good

Updated 16 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 16 October 2019

The service was well-led.

Details are in our well-Led findings below.