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This service was previously registered at a different address - see old profile

Reports


Inspection carried out on 13 February 2020

During a routine inspection

About the service

Branch House is a residential care home providing personal and nursing care to four people. The service is registered to provide care and support to four people. An annexe had been built and adapted to meet the needs of one person.

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

People were supported by a caring, knowledgeable and committed staff team who respected them and knew them well. The staff were kind and respectful. Staff understood how people communicated.

People had built strong and warm relationships with staff and were relaxed in their company. People were supported to have 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 supported this practice. Staff respected people’s choices and preferences.

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 the 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.

People were supported to fill their time with things they found enjoyable and/or meaningful. They were supported with skill by a reflective staff team who spoke respectfully of people’s achievements. This meant the staff team helped people find enjoyment and security in their day to day lives and relationships.

The staff understood their responsibilities and how to protect people from abuse. Staff understood the risks people faced and the support they needed to reduce these risks.

People had access to healthcare when they needed it. Appointments for routine monitoring, such as dental and optician appointments, had been made. Complex and ongoing health care needs were supported. People were supported to eat and drink safely and their preferences were reflected in the food they shopped for and cooked.

The staff team were well led by a senior team committed to promoting person centred care within a framework of robust monitoring and developments. There were systems in place, and in development, to monitor standards and plan continual improvements.

Staff felt supported by the management team. All staff shared an ethos of personalised care and support to enable people to live the life they chose to live. Staff were happy in their jobs and wanted to provide the best care they could.

Rating at last inspection

The last rating for this service was good (published June 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

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

Inspection carried out on 7 June 2017

During a routine inspection

This inspection took place on 7 June 2017 and was unannounced. It was carried out by one adult social care inspector. This was the first inspection of the service since it was registered by the Care Quality Commission in October 2016.

Branch House provides accommodation with personal care for up to four people. The home specialises in providing a service to adults who have a learning disability or associated mental health needs. There are large private gardens and parking. The home is staffed 24 hours a day.

At the time of our inspection there were three people living at the home. Some people were not able to tell us about their experiences of life at the home so we therefore used our observations of care and our discussions with staff to help form our judgements.

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 philosophy of the service was “To support individuals to reach their own level of independence and develop personal skills. To ensure people have freedom to express opinions and encourage full participation in the running of the home.” Through our observations and discussions with staff it was evident that this ethos had been fully adopted and promoted by the staff team.

There was a very happy and relaxed atmosphere in the home and people looked relaxed and content with the staff who supported them. Staff understood people’s needs and preferences and engaged with each person in a way that was most appropriate to them. A person who lived at the home told us “I love it. I am very happy here. I like the staff; they are my friends.” Another person smiled and gave thumbs up when we asked them about the staff and whether they were happy living at the home.

There were enough staff deployed to help keep people safe. People were supported to live the life they chose with reduced risks to themselves or others. There was an emphasis on supporting people to develop and maintain independent living skills in a safe way.

There were policies and procedures which helped to reduce the risks of harm or abuse to the people who lived at the home. These were understood and followed by staff. These included recognising and reporting abuse, the management of people’s finances, staff recruitment and the management of people’s medicines.

People were supported by a caring staff team who knew them well. Staff spoke with great affection when they told us about the people they supported.

People were always asked for their consent before staff assisted them with any tasks and staff knew the procedures to follow to make sure people’s legal and human rights were protected.

People and the people close to them were involved in developing and reviewing the care they received. Each person had a care plan which detailed their needs, abilities and preferences. These had been regularly reviewed to ensure they reflected people’s needs and aspirations.

People accessed various activities in the home and local community. People were supported to maintain contact with the important people in their lives.

There were systems in place to monitor and improve the quality of service people received.