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Fenny Mews & Stratford View Outstanding


Inspection carried out on 4 February 2020

During a routine inspection

About the service

Fenny Mews and Stratford View is registered to provide personal care to people living in their own accommodation within the two supported living houses, namely 'Fenny Mews' and 'Stratford View'. The two houses provide a communal space for people to spend time with each other. The service in addition supports people living in other supported living accommodation, not on site, as part of their ‘outreach’ support service. The service supports adults with a learning disability, or mental health need and who in some instances have autism. There were ten people being supported at the time of the inspection.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

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.

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

The registered manager and staff consistently applied the principles and values of Registering the Right Support and other best practice guidance. This ensured that people using the service led a full a life as possible and achieved the best possible outcomes, that include, control, choice and independence. This was achieved as all staff worked closely with social and health care professionals to support people in moving into and between independent living services as part of their aspirations and goals towards greater independence. This was facilitated by a dedicated team of staff, with key skills in a range of areas, which enabled them to provide people with the appropriate support and care.

People’s individuality was recognised, celebrated and encouraged by staff, who had developed trusting relationships with people, based on mutual respect and understandings. Staff supported and encouraged people to take an active part within the local community and access a range of activities and services.

Staff worked in partnership with people to develop and review their support plans. Support plans reflected people’s aspirations and goals. They provided clear guidance for staff as to their role in supporting people to live an independent life as possible, and to be active. People’s individual communication needs were understood, and staff were able to communicate effectively with people. People were encouraged and supported to develop and maintain relationships.

Fenny Mews and Stratford View was led by a dedicated management team and staff who were passionate about the people they supported. The culture and ethos within the service was that of transparency, inclusivity and empowerment. The governance of the service was robust, and quality outcomes were kept under continual review by the registered manager and a dedicated team of staff in order to drive improvement. The service and individual members of staff had been nominated and had received internal and external awards in recognition of the quality of the support and they provided.

People were consulted and fully involved in decisions about potential risks to their health and welfare, and staff supported people to make informed decisions about risk. A positive approach to risk taking enabled people to develop their independent living skills safely, which included being responsible for their own medicine. People were involved in the robust recruitment process of staff.

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Inspection carried out on 15 June 2017

During a routine inspection

This inspection of the domiciliary support service took place on 15 and 21 June 2017 and was announced. ‘Fenny Mews and Stratford View ‘ is registered to provide personal care to tenants living in their own accommodation within the two supported living houses, namely ‘Fenny Mews’ and ‘Stratford View’. The service supports adults with a range of needs arising from learning disabilities and includes, for example, autism. There were nine tenants living in the houses when we inspected.

A registered manager was not in post when we inspected although an application to register a manager had been received by the Care Quality Commission (CQC) and was being processed. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social care Act 2008 and associated regulations about how the service is run.

People’s needs were safely met. People’s needs were assessed prior to taking up the service and their agreed care plans reflected people’s needs and preferences in relation to the care provided. Assessments were in place and appropriately acted upon to reduce and manage the risks to people’s health and welfare. Staff ensured that people that required support to manage their medicines received their medicines as prescribed. People were supported to eat a healthy diet and to have access to health services in the community to improve their health and well-being. The staff followed the advice of healthcare professionals in meeting people’s needs.

People were protected from the risks associated with the recruitment of staff by robust recruitment systems and the provision of appropriate training to all new recruits. Staff understood the importance of protecting people from abuse and avoidable harm. They were aware of the actions they needed to take to report any concerns about people’s safety or well-being. There were sufficient numbers of staff available to meet people’s needs in a timely way. Staff had received training to provide them with the skills and knowledge they needed to provide people with safe care.

People received support from a staff team that were caring, friendly, and responsive to people’s changing needs. They were able to demonstrate that they understood what was required of them to provide each individual with the person centred support they needed to live fulfilling lives as independently as possible. People were treated with dignity and their right to make choices about how they preferred their care to be provided was respected. People’s rights were protected.

People benefitted from a service that was appropriately managed by the person in charge so that they received their service in a timely and reliable way. People knew how to raise concerns and complaints and the provider had appropriate policies and procedures in place to manage such eventualities. There were also systems in place to assess and monitor the on-going quality of the service. People’s views about the quality of their service were sought and acted upon.