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Heathcotes (Larkrise) Outstanding

The provider of this service changed - see old profile

Reports


Inspection carried out on 15 October 2019

During a routine inspection

About the service

Heathcotes (Larkrise) is a care home which provides accommodation for up to seven people with autism, some of whom have additional learning disabilities. People also had particular needs in relation to communication. At the time of our inspection there were seven people using the service. At the rear of the home there was a large garden, this contained a separate supported living setting known as Garden Cottage. Garden Cottage was equipped to accommodate one person with private access and garden area. Both the care home and supported living service were looked at as part of this inspection.

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. The outcomes for 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.

The service was a large home, bigger than most domestic style properties. Although this was larger than current best practice guidance, the building design fitted into the residential area and the other large domestic homes of a similar size. There were no identifying signs, intercom, cameras, or anything else outside to indicate it was a care home. Staff did not wear anything that suggested they were care staff when coming and going with people.

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

People were well supported and cared for at Heathcotes (Larkrise). Comments from relatives and professionals were, without exception, positive and praised the registered manager and staff team for the way they cared for people and supported people to live life to the full.

Staff put people at the centre of their care. Every decision made or action taken centred around people’s needs and how staff could improve the quality of life for people. People received exceptional person-centred care and support which truly focused on people as individuals. People were encouraged to maintain links with family, and staff and relatives told us they valued the support this gave to people.

Staff knew people well and were able to use a range of communication methods to fully involve and engage with people in their everyday life including people’s health and wellbeing; leading to excellent outcomes. 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.

People were valued as individuals and staff worked with people to learn new skills, increase their independence and become more confident in everyday life. This meant people were able to achieve their goals and have a fulfilled life.

The design and layout of the environment was unique and really helped to support people’s individual needs and preferences. Staff used the space available to its full potential so people could get the maximum enjoyment and benefits from communal areas.

The registered manager and staff were dedicated in providing a service that put people first. Relatives spoke highly of the registered manager and how committed they were to providing high-quality care. Relatives told us they would absolutely recommend the service to other people and gave examples of how the registered manager and staff had gone above and beyond to create an outs

Inspection carried out on 21 April 2017

During a routine inspection

This inspection took place on 21 April 2017 and was unannounced. This was the first inspection since this location registered with us on 31 October 2016. The service was previously registered with us under a different provider and the registered manager and many of the staff transferred to the new provider.

Larkrise is a care home in a large detached house which provides accommodation for up to seven people with autism, some of whom had additional learning disabilities. People also had particular needs in relation to communication. At the time of our inspection there were seven people living at the service. Each person had their own room with en-suite facilities. There was a large communal lounge, sensory room, kitchen, dining room and laundry room. At the rear of the home there was a large well maintained garden.

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.

People experienced positive outcomes in terms of managing behaviour which challenged others. Staff followed the techniques of a programme accredited by the British Institute of Learning Disabilities (BILD) to assist people to maintain self-control, and to support them with behaviour that challenged in a positive way. Staff worked closely with the local authority challenging behaviour team and mental health professionals to assess and monitor people’s behaviour which challenged to check people received the support they needed.

Staff were supported to understand people’s needs, such as needs relating to their autism, through a programme of training, supervision and annual appraisal. The registered manager and staff understood the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards. People were supported in line with these.

People were offered a choice of food and drink. Staff were knowledgeable in supporting people with complex needs relating to eating and drinking. Staff supported people to access the healthcare services they needed to maintain their health and referred people to specialist support when necessary.

The provider supported people to establish routines and a weekly activity programme, as well as encouraging them to use their literacy skills which they had not done for some time, to improve their quality of life. All people had individual activity programmes in place based on their interests.

People’s care plans were regularly updated so contained reliable information for staff to follow in supporting them. People and their relatives were involved in forming and reviewing their care plans.

People were supported by staff who knew them well, including the best ways to support them in line with their complex needs. Staff understood the best ways to communicate with people and used a range of techniques including visual systems to help people communicate their needs. Staff treated people with dignity and respect and supported people to be as independent as they wanted to be.

People were supported by staff to maintain relationships with people who were important to them, encouraging visits and helping people to phone and video call their relatives regularly. Relatives were encouraged to join in activities together with people using the service. They took part in a Saturday walk each month with people and staff at the service.

Staff managed people’s medicines safely, storing, administering and recording medicines in line with best practice. Staff understood how to respond if they suspected people were being abused to keep them safe and had received training in safeguarding adults at risk. The registered manager managed risks to people and the premises well, ensuring people had accurate risk assessments in place with ris