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Inspection Summary


Overall summary & rating

Outstanding

Updated 17 August 2017

This inspection took place on the 26 May and 6 June 2017. Patrick Court provides supported living to people in their own homes across two sites in Northamptonshire. At the time of our inspection there were 13 people receiving care.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission 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.

The registered manager and senior management team at Patrick Court were visible, approachable and acted as a role model for staff within the service. There was a clearly articulated person centred culture. Staff were encouraged and enabled to work creatively which achieved consistently outstanding outcomes for the people receiving care and support. There was a strong system of quality assurance led by the provider and registered manager that ensured people consistently received exceptional care and support.

The people receiving care from Patrick Court had an enhanced sense of well-being and quality of life because staff worked innovatively to enable people to have meaningful experiences and to become active members of the local community.

Staff were empowered to work creatively and to develop positive therapeutic relationships with people. Staff were proud of the support that they provided to people and the positive outcomes that they had observed. People had been supported to make their accommodation a home that they were comfortable living in.

Staff knew their responsibilities as defined by the Mental Capacity Act 2005 (MCA 2005) and Deprivation of Liberty Safeguards (DoLS) and had applied that knowledge appropriately. People were supported to make decisions for themselves and their consent in relation to their care was actively sought by staff. People were supported to use communication aids and information was provided to people in an accessible format to enable them to make decisions about their care and support.

The people supported by Patrick Court had complex needs and people who demonstrated behaviour that may challenge services received care that was based upon best practice guidelines that met their individual needs and successfully reduced instances of incidents within the home.

People were at the heart of the service and staff were committed to enabling people to live full, varied and fulfilled lives. People were supported in creative way to continue to achieve their aspirations and continued to have new experiences. Staff were motivated to find innovative ways to remove barriers for people to achieve have meaningful access in the community.

Staff demonstrated the provider’s values of offering person centred care that respected people as individuals in all of their interactions with people. People, their relatives and the professionals involved in people’s care consistently told us that the service consistently achieved exceptional outcomes for people.

People could be assured that they would be supported by sufficient numbers of staff. A number of people within the home received care from staff on a one to one basis and records showed that people received the this care in the way they needed to maintain their safety.

People’s health and well-being was monitored by staff and they were supported to access health professionals in a timely manner when they needed to. People were supported to have sufficient amounts to eat and drink to maintain a balanced diet.

Staff understood the importance of obtaining people’s consent when supporting them with their daily living needs. People experienced caring relationships with staff and good interaction was evident.

Inspection areas

Safe

Good

Updated 17 August 2017

The service was safe.

People felt safe and staff were clear on their roles and responsibilities to safeguard them.

People received their care and support from sufficient numbers of staff that had been appropriately recruited to provide safe care.

People’s medicines were appropriately managed and safely stored.

Risks were regularly reviewed and, where appropriate, acted upon with the involvement of other professionals so that people were kept safe.

Effective

Good

Updated 17 August 2017

The service was effective.

Staff received the supervision, support and training that they needed to provide effective care and support to people.

People were supported to maintain their nutrition and their health needs were monitored and responded to appropriately.

Staff understood their responsibilities in relation to the Mental Capacity Act 2005 and people’s consent was sought appropriately.

Caring

Good

Updated 17 August 2017

The service was caring.

People’s care and support took into account their individuality and their diverse needs.

People’s privacy and dignity were respected.

People were supported to make choices about their care and staff respected people’s preferences.

Responsive

Outstanding

Updated 17 August 2017

The service was very responsive.

Staff worked innovatively to meet people’s preferences, provide them with new experiences and enabled people to be an active part of the local community. This innovative support gave people an enhanced sense of well-being and quality of life.

People’s care and support was planned in partnership with them. People were empowered, valued and listened to.

Staff were committed to enabling people to live independently and worked creatively with people to transition into an independent living environment whereby people were living in their own home.

Well-led

Outstanding

Updated 17 August 2017

The service was very well-led.

The vision and values were imaginative, innovative and ensured that people were at the heart of the service.

The service worked in partnership with other agencies to make sure that they followed current best practice and provided a consistently high quality service.

There was an exceptional focus upon providing person centred care and support. The culture of the service was focussed upon providing consistently personalised care to people; this culture was understood and demonstrated by all of the staff at Patrick Court.