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SJOG Hospitaller Services Northern Supported Living Good

Inspection Summary


Overall summary & rating

Good

Updated 11 January 2018

We inspected St Bede’s House on 7 and 22 November 2017. This was an announced inspection. We gave the provider 24 hours’ notice. We did this because the service provides support in the community and we needed to be sure that someone would be in.

St Bede’s House provides 24 hour care and support for one person who has a learning disability and lives in their own home.

The service has a registered manager. 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.

At the last inspection, the service was rated Good.

At this inspection we found the service remained Good. We have rated the effective domain was outstanding due to the innovative and multidisciplinary approach used by the provider to support the person to lead a more fulfilled life.

Relatives felt the service was safe. Policies and procedures were in place to keep people safe such as safeguarding, whistleblowing and health and safety. Staff were trained in safeguarding and understood the importance of acknowledging poor practice and reporting their concerns to management. Medicines were managed safely by trained, competent staff. Accident, incident and safeguarding concerns were recorded and investigated to prevent any reoccurrence. Infection control procedures were followed. Staff had access to personal protective equipment. The provider had a file containing information for staff in case of an emergency to ensure service continuity.

Relatives described the effectiveness of the service as amazing and excellent. The provider used a holistic approach to assessing and planning support to meet the person's outcomes. Staff supported the person to achieve their outcomes by using an innovative method by using a range of activities. Staff worked diligently to plan activities which enabled the person to sample various outings and events using behaviour monitoring to recognise which benefited the person in reducing behaviours that may challenge. The provider used current legislation and national guidance when supporting the person. For example, Social Care Institute of Excellence guidance on co-production. Co-production is a method of ensuring people are involved in planning their support. Staff were trained in a range of subjects to meet the needs of the service. Supervision and appraisals were in place for staff following yearly planners. Referrals to health and social care professionals were made when appropriate to ensure healthcare was monitored. Staff provided support and guidance with nutritional needs. 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. Staff gained consent before any intervention with the person.

Staff were caring in their approach with the person they supported. Staffing rotas were developed to ensure staff had the opportunity to spend quality time with the person. Staff put the person at the heart of everything they did. They also offered kindness and maintained relationships with relatives as part of their caring role. The culture within the service was one which promoted personalised care tailored to the person’s needs. Staff respected the person’s privacy and dignity ensuring their independence was promoted. Staff were aware of the person’s life history and knew how important contact with their family was.

Care plans were individualised and contained information on how to support the person in a person centred way. Plans were in place to meet the person’s physical, mental, social and emotional well-being. The staff used a variety of methods to gain information when developing support plans. For example, life history

Inspection areas

Safe

Good

Updated 11 January 2018

The service remains good.

Effective

Outstanding

Updated 11 January 2018

The service was extremely effective.

Staff used an innovative method of trialling various activities and monitored behaviours to support the person meet their outcomes. The provider worked with other agencies and used best practice when holistically assessing the person's needs.

Staff felt supported and received regular supervision and appraisal which included review of their personal development in order to develop their skills and knowledge.

Staff's training was tailored to meet the needs of the service therefore enhancing the person�s experiences. The provider ensured staff received training in positive behaviour support and support planning using co-production, including a joint approach with external organisations.

Caring

Good

Updated 11 January 2018

The service remains good.

Responsive

Good

Updated 11 January 2018

The service remains good.

Well-led

Good

Updated 11 January 2018

The service remains good.