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Milton Keynes Short Breaks and Shared Lives Outstanding

Inspection Summary


Overall summary & rating

Outstanding

Updated 30 March 2018

Milton Keynes Short Breaks and Shared Lives service is registered to provide accommodation and personal care to people who have a range of support needs.

The short breaks service provides respite and short break accommodation for people with learning disabilities and complex needs. The service is provided in two residential bungalows and is registered to provide accommodation and personal care to fourteen people. One bedroom is set aside for emergency respite placements.

The Shared Lives Service recruits people to become paid carers to support adults with a range of support needs. People stay in the carer’s home and receive their support within a family environment. Shared Lives support can vary from a day a week, a day a month, overnight stays or living with someone for a short while or permanently. Staff employed by the shared lives service provide support to people and their carers.

The service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and complex needs using the service can live as ordinary a life as any citizen.

At the time of our inspection, there were twenty-one people who regularly received support from the short breaks service and fourteen people using the shared lives service. Both services were overseen by one registered manager.

At the last inspection, on 6 January 2016, the service was rated ‘Good'. At this inspection we found that the service was now rated ‘Outstanding’.

There was a registered manager in post. A registered manager is a person who has registered with the CQC 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 service demonstrated an excellent commitment to providing outstanding support, which put people at the heart of everything. The provider and registered manager led the staff to deliver person centred care, which had achieved consistently outstanding outcomes for people.

Staff continuously went beyond expectations to ensure that people received truly individualised care that was flexible and responsive to their needs. Staff and carers respected people's individuality and empowered people to express their wishes and make their own choices.

Staff and carers demonstrated the provider's values of offering person centred care that respected people as individuals in all of their interactions with people. Staff and carers at all levels had a strong belief that they were providing the best possible care for people, and were confident and empowered in their roles because of the strong leadership and management across the service.

Staff and carers were innovative in their approach to support, and were enthusiastic about supporting people to overcome life’s challenges. People and their relatives consistently told us that the service provided exceptional care and support to people.

There was a very effective system of quality assurance that ensured people consistently received exceptional care and support. The people receiving support from the service had an enhanced quality of life because the service worked innovatively to respond to people’s feedback and enable people to have meaningful experiences.

Milton Keynes Short Breaks and Shared Lives Service went to great efforts to share their ideas and approach with other services to help encourage them to improve and provide better care for people.

Staff and carers had an understanding of abuse and the safeguarding procedures that should be followed to report abuse. Detailed risk assessments and behaviour management plans were in place to manage all risks within a person’s life. Staff were confident in supporting people with complex needs and b

Inspection areas

Safe

Good

Updated 30 March 2018

The service remains Good.

Effective

Good

Updated 30 March 2018

The service remains Good.

Caring

Good

Updated 30 March 2018

The service remains Good.

Responsive

Outstanding

Updated 30 March 2018

The service was exceptionally responsive.

Support was completely personalised to each individual’s needs and choices. Staff and carers understood the best way to support each person to empower and enable them to live life as they chose.

People's care was based around their individual goals and their specific personal needs and aspirations.

Innovative approaches were used to maximise each person’s potential, and ability to take part in meaningful activity.

Feedback from people and relatives was extremely positive about the quality of life they were experiencing as a result of receiving support from the service.

People using the service and their relatives knew how to raise a concern or make a complaint. There was an accessible complaints system in place, which ensured that any concerns were dealt with promptly.

Well-led

Outstanding

Updated 30 March 2018

The service was exceptionally well-led.

The registered manager and provider put people at the heart of everything and were proactive in seeking people's views and experience of their care and support.

There was a culture of openness and transparency; the registered manager continually encouraged and supported the staff to provide the best possible person centred care for people and their families.

The provider went to great efforts to share their ideas and approach with other services to help encourage improvements in the care and support provided to people.

Quality assurance systems in place were effective and any shortfalls found were promptly addressed. There was a consistent drive to ensure that standards were maintained and improved.