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Spode Close Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 27 August 2020

About the service

Spode Close is a residential care home which was providing care to three people living with learning disabilities at the time of the inspection. Spode Close is a purpose-built block of self-contained studio style apartments. The service can provide accommodation and support for up to seven people with learning disabilities, autistic spectrum disorder, physical disabilities or a combination of these kinds of impairment.

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 of 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

People using the service felt safe. Staff had received training to enable them to recognise signs and symptoms of abuse and they felt confident in how to report these types of concerns. People had risk assessments in place to enable them to be as independent as they could be in a safe manner. There were sufficient staff with the correct skill mix on duty to support people with their needs and keep them safe. Effective and safe recruitment processes were consistently followed by the provider. Medicines were managed safely.

People were cared for in a clean and homely environment by staff who were caring, competent and knowledgeable about people's needs. Training and supervision were arranged to ensure staff had the skills that were necessary to carry out their role. Staff spoke positively about working for the service and said that they received support from the management team. People were provided with maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service promoted this practice. Staff supported people to maintain a healthy diet in line with their assessed needs. People were assisted to access health care if this was needed.

Assessments and support plans were in place identifying what was important to people and how people needed to be supported. The support people received was centred around them and they were involved in any decisions made regarding their care. Staff supported people to enjoy a range of activities which reflected people's individual interests. The provider had a complaint's process which people were aware of to share any concerns. At the time of the inspection, no one was being supported at the end of their life.

People and staff felt supported by the registered manager. The provider had effective systems and processes in place to ensure the quality and safety of service. Spot checks and audits were completed to ensure the quality of the service was maintained. Some of the relatives of people living at Spode Close told us that communication could be improved as they did not always feel informed about and involved in the care of people using the service.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspec

Inspection areas

Safe

Good

Updated 27 August 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 27 August 2020

The service was effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 22 January 2020

The service was not always caring..

Details are in our caring findings below.

Responsive

Good

Updated 27 August 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 27 August 2020

The service was not always well-led.

Details are in our well-Led findings below.