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Autism & Aspergers Support Ltd Outstanding

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Outstanding

Updated 14 February 2018

The provider Autism and Asperger’s Support Ltd operate three care homes in Eastbourne. We inspected their Latimer Road location which provides accommodation and personal care for up to three people; however at the time of inspection, only two people were living there. The building is situated over three floors and which are accessed by a stair-case. There is a communal lounge, dining room and kitchen as well as a shower room and a bath room. There are also toilet facilities located close to people’s bedrooms. One person’s bedroom had been arranged as a flat with a separate lounge. There were also outside spaces that were accessed by people regularly.

At the previous inspection in 2016, the service was rated as ‘Requires Improvement’ overall. This was due to some insufficient recording regarding the administration of medicines, no registered manager at the premises and a lack of audit protocols. This meant that there was not clear oversight of the service and the people accessing it. It was evident from this inspection that drastic improvement had been made to areas identified previously.

The service had a registered 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.

People were safe. Staff had a thorough understanding of how to protect people against harm and there were suitable levels of staff available to ensure people’s needs could be met at any time. The provider had listened to what made people feel anxious and found innovative ways to support them to feel safe at home and when using local amenities. People had a range of individualised risk assessments to support them to maintain their independence and safety. These were developed and regularly reviewed by people and staff who supported them.

Medicines were managed in such a way that people received them safely. Medicines documentation was clear and people had their own medicine cabinets in their bedrooms to encourage maximum independence and control. One person now managed their medicines independently as a result of support, with the encouragement of staff and involvement of the local pharmacy.

The registered manager and staff had a thorough understanding of the Mental Capacity Act 2005 and how to promote choice in decision making. People at Latimer Road were independent and able to make decisions about their care and safety. Regardless of this, the registered manager and staff understood their responsibilities under the Deprivation of Liberty Safeguards (DoLS); these provide legal safeguards for people who may be deprived of their liberty for their own safety. Staff had sought support from health professionals to enable people to make decisions about their own health and wellbeing.

Staff felt well supported due to regular supervision, annual appraisals and a robust induction programme, which developed their understanding of people and their routines. Staff also received a wide range of specialised training to ensure they could support people safely and carry out their roles effectively.

People were supported to maintain their health and were referred for specialist advice as required. Yearly Health Calendar’s meant people could write down when they had appointments and manage their own health. There were clear guidelines in how to support people when accessing different health professionals such as the GP, Dentist or Chiropodist. People were also involved in writing their own emergency plans that could be taken to the hospital if they needed to be admitted.

People, relative’s and health professionals considered the caring nature of the service to be of the highest standard. We saw this not only through observations of people and staff together but through the posit

Inspection areas

Safe

Good

Updated 14 February 2018

The service was safe.

There were suitable and regular staff available to ensure people�s needs were met and continuity of care was achieved.

People were included in developing and reviewing risk assessments that were detailed and centred on them.

There were safe recruitment practises that involved people.

People were supported by staff who were knowledgeable of safeguarding procedures and who could recognise signs or indicators of abuse.

Effective

Good

Updated 14 February 2018

The service was effective.

Choice was a continued focus of the service and people were supported to make decisions that enabled them to have choice over their own lives.

Staff had suitable induction, training and supervision to ensure they had the skills and knowledge required to support people. Additional training had been sourced to support people�s specific needs.

People were given maximum control over their choice of food and drink and encouraged to be independent in shopping and preparing their own meals.

Caring

Outstanding

Updated 14 February 2018

The service was outstanding in the way that it cared for people.

People, relatives and health professionals without exception praised the caring approach of staff at every level.

People were supported to be independent in all aspects of their lives. This had given them confidence and helped to develop social skills with links to the local community.

Staff took time to get to know people, their preferences, wishes and goals.

Responsive

Outstanding

Updated 14 February 2018

The service was exceptionally responsive.

Each person had an in-depth care plan tailored to their individual needs. Emphasis was made to how to support with extreme anxiety and the provider had used innovative techniques in ensuring people felt happy.

People were encouraged to take part in activities of their own choosing but that also supported them to achieve personal goals. People�s time-tables were varied and promoted independence and social stimulation.

The service supported people to maintain close links to health professionals. People and relatives praised the home for the positive impact these relationships had made to people�s health.

People, relative�s and staff were aware of the complaints procedure and actively encouraged to feedback any issues to improve the service. People felt listened to and that their complaints were taken seriously and responded to immediately.

Well-led

Good

Updated 14 February 2018

The service was well-led.

Staff spoke highly of the support they received from the registered manager and owners of the service.

Regular feedback was sought in the form of staff and resident meetings, questionnaires and reviews of service provision.

There were robust quality monitoring processes to check the quality and safety of the service. As a result, the registered manager was able to have clear over-sight of patterns or trends and find ways to improve these.