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Inspection Summary


Overall summary & rating

Good

Updated 10 November 2017

The inspection took place on 6 and 10 October 2017 and was announced. We gave the provider short notice of the inspection so they could prepare people for our visit. This was the first inspection of this newly registered service.

The service provides complex specialist support to up to five people who have a learning disability and/ or a mental health condition. There were three people living at the service when we inspected.

There was a registered manager who was supported by a manager and deputy 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.

The registered manager was experienced in managing services and working with people living with mental health conditions and learning disabilities. The registered manager spoke passionately about wanting to provide good support to people and to enhance people’s quality of life. They worked closely with professionals and organisations to give people the best possible support based on current best practice. The values of the provider organisation were to provide a ‘safe and homely environment that promotes empowerment, independence and choice.’ All the feedback we received from people, relatives, staff and visiting professionals about the service was positive.

People told us that they were happy living at the service, that they felt safe and had the support they needed. People looked relaxed and at ease with each other and staff. Staff knew people well, staff understood and empathised with people’s needs and celebrated people’s achievements. Staff knew about abuse and what to do if they suspected abuse. There was a feeling of equality and mutual respect with everyone involved in running the service from cooking meals to choosing staff. People proudly told us about the new skills they were learning and had learned since living at Seabrook road. Some people had previously been quite restricted but were now leading more fulfilled lives due to having the right support.

People were supported to remain healthy and to take part in planning their meals and cooking. Medicines were managed safely. People’s needs were assessed before they came to live at the service to make sure the staff could meet the person’s needs. If needed, the registered manager arranged specific training for staff before a person moved in and each move was planned around the person’s wishes and at a pace that suited them. People had a say about their support and had even trained staff about how to support them in the best way.

Each person had a support plan that was individual to them with photographs and pictures. Personal goals and aspirations were recorded and supported. Any risks to people had been assessed with an emphasis on enabling and independence rather than restrictions. People had individual activity plans which included sports activities, jobs and work experience. Staffing was flexible and arranged around people’s activities and appointments. Staff were recruited safely and people had a say about who might support them.

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. Some people were subject to constant supervision and may not have the capacity to consent to this. The registered manager had taken advice and applied for Deprivation of Liberty Safeguard authorisations when required.

People told us the staff were kind and understanding. People were treated with dignity and respect. Staff were trained and were experienced in supporting people with learning disabilities and complex needs. Staff were supervised and supported by line managers and people were aske

Inspection areas

Safe

Good

Updated 10 November 2017

The service was safe.

Staff knew how to recognise and respond to abuse. People felt safe.

Risks were managed so people were not restricted.

Medicines were managed safely.

There were enough staff to give people the support they needed and people took part in recruiting staff.

Effective

Good

Updated 10 November 2017

The service was effective.

Staff were trained and felt supported by their colleagues and managers.

People were supported to make choices and decisions. Staff followed the principles of the Mental Capacity Act.

People took part in planning and preparing their meals. People were supported to make healthy choices for improved physical and mental health.

Caring

Good

Updated 10 November 2017

The service was caring.

People were supported to keep in touch with family and friends and to make new friendships.

Staff treated people with dignity and respect.

People had a say about their support and felt listened to.

Responsive

Good

Updated 10 November 2017

People had support plans detailing their needs, goals and hopes for the future.

Staff supported people to achieve their goals and ambitions.

People were supported to air their views and said they felt that any complaints or concerns would be addressed.

Well-led

Good

Updated 10 November 2017

The registered manager and staff were committed to providing person centred care and support.

The culture was one of supporting independence and helping people to achieve and live the life they wanted.

Audits were carried out to check the building was safe and that records were in order. The managers worked alongside staff to observe their practice.

People were asked for their views about the service. The registered manager agreed to develop this system by asking a wider range of people for their views.