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Inspection Summary


Overall summary & rating

Good

Updated 12 May 2020

About the service

Penniston Barn is a residential care home providing personal care to six younger adults living with a learning disability or autism the time of the inspection. People had their own bedrooms, with en-suite shower rooms and shared communal areas such as the kitchen, the lounge and the garden.

The service had 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.

The service was in a rural location far away from local amenities with limited access to public transport. The service was clearly advertised as a care facility with identifying signs and industrial waste bins. However, this did not have a negative impact on people using the service. The service was decorated as a home environment inside based on people's choices and people had their own vehicles which they could use to access the community.

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

People and their relatives were positive about the care they received. One relative said, ‘‘[Staff] are great and work well as a team as well as working with [Person]. It is a great little service and [person] is so happy there.’’

People received exceptionally effective care which ensured that they achieved fantastic outcomes and were supported to improve their quality of life. Without exception people were encouraged to communicate their needs more effectively, access the community more and manage their own anxiety and distressed behaviours. the support which people received to maintain a balanced and healthy diet was exemplary. Relatives feedback about the impact the support at the service had for their family members was complimentary. The manager kept up to date with best practice guidance and used this to continually improve people’s support.

People were supported by a kind and compassionate staff team who had got to know them as individuals. People were kept at the centre of their care and supported to make choices in all aspects of their daily living. Staff promoted people’s independence and respected their privacy and their dignity. People’s support was tailored to their individual needs and preferences and staff supported people to take part in a wide array of activities based on their interests. Staff supported people to communicate in ways which they understood.

People felt safe living at the service and staff had a good understanding of safeguarding. Staff followed people’s risk assessments when supporting them to ensure that they stayed safe whilst taking positive risks. There were enough staff to support people safely and staff were recruited in line with best practice and guidance. People were supported safely with their medicines. The service was clean and staff followed good infection control practices.

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. The manager had a detailed complaints procedure in place and responded to any complaints made promptly. Staff were working to help people put plans in place for the end of their life and document their wishes.

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 an

Inspection areas

Safe

Good

Updated 12 May 2020

The service was safe.

Details are in our safe findings below.

Effective

Outstanding

Updated 12 May 2020

The service was exceptionally effective.

Details are in our effective findings below.

Caring

Good

Updated 12 May 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 12 May 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 12 May 2020

The service was well-led.

Details are in our well-led findings below.