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Inspection Summary


Overall summary & rating

Good

Updated 6 March 2020

About the service

Pendennis House was providing care and support to 6 people at the time of the inspection. Five people were living in their own accommodation close to the main office of the domiciliary care service and one person lived in the community some distance from the main office. Support was tailored according to people's assessed needs within the context of people's individual preferences and lifestyles to help people to live and maintain independent lives and remain in their homes.

The service provides specialist support to people with learning disabilities, autism, mental health needs and physical disabilities to help them to live as independently as possible and achieve their goals. Staff provided flexible support across 24 hours, in some instances overnight.

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

The service was exceptional in encouraging people to live as full a life as possible and supported them to achieve the best possible outcomes. People's confidence, independence and wellbeing had improved since they began using the service.

Dedicated and enthusiastic staff ensured that people's daily life was filled with meaningful opportunities, entertainment and involvement in making friends and reducing social isolation.

People felt safe using the service. Staff had been trained to understand how to manage risks to people and how to report any concerns they had about people.

Staff understood how to protect people from abuse through training and literature available to them. Staff were familiar with the policies used by the service.

Recruitment processes were thorough to ensure staff were safe to work with people using the service.

Staff had received essential training and support, and feedback from people indicated that they knew the best way to care for them in line with their needs and preferences.

The service had systems to ensure risks were managed and people were kept safe. People received effective care from a well-supported and trained staff team.

People and relatives told us the service was person-centred. They said care was delivered in line with preferences and wishes. People were consulted with and involved in developing their care wherever possible.

People told us that they had no concerns around staff respecting their dignity and privacy in their own homes. One person told us, "Yes they [staff] give me privacy".

People told us they were confident concerns were always listened to and acted upon if necessary by management team.

Lessons were learned from incidents and accidents by reflecting on them and putting systems in place to mitigate any further issues. Managers and staff were consistently open and transparent when things went wrong and kept records to demonstrate this.

People told us the service was well-led. Staff told us, “It’s just an inclusive team. I have a lot of confidence in the management team” and “Just knowing there is always somebody there you can trust to support you means so much.”

The management team and staff had clear roles and responsibilities and were committed to ensuring the service provided was of a consistent standard. There was an emphasis on developing a person-centred culture within the service.

People were supported to have maximum choice and control of their lives and supported them in the least restrictive way possible and in their best interests; the policies and systems in

Inspection areas

Safe

Good

Updated 6 March 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 6 March 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 6 March 2020

The service was caring.

Details are in our caring findings below.

Responsive

Outstanding

Updated 6 March 2020

The service was exceptionally responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 6 March 2020

The service was well-led.

Details are in our well-Led findings below.