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Inspection Summary


Overall summary & rating

Good

Updated 8 August 2019

Charlotte House is a 'care home'. It provides services for adults with a learning disability and autism, Charlotte house is registered to provide support for two adults and at the time of the inspection one person lived in the home.

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

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 this practice.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

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.

Care and support was delivered on an individual basis and the occupant of the home decided the daily routines. Care, support and activities were planned around individual likes and dislikes. People were encouraged to participate in activities that were meaningful to them for example charity work and to experience new activities with varying degrees of success due to people’s general dislike of change.

The person being supported told us that they had opportunities to connect with other people using the U&I Care Limited services with attendance at social clubs, discos, and dinner clubs but often preferred not to go. They told us of connections they had made with the wider community.

We were told that relatives had concerns around the level of activities their relative attended and that they should be “made” to do things. We discussed with the manager ways to improve people’s understanding of how individuals are supported with choice. This aspect of people’s care across all U&I Care services needs to be reviewed, to be able to manage families expectations in line with legislation as people transitioned from children’s service and receive support in adult services.

The person told us that they felt safe with the support from staff, they told us that the manager had arranged for staff to support them with whom they got on best. The service worked very hard to promote inclusivity and people’s diversity was embraced. Staff demonstrated this with their knowledge of how people communicated, made their needs and wishes known, and what worked best to ensure they had a good day.

Staff told us that they were proud to work for U&I Care Limited and we saw there was a genuine affection for the people they supported. There were processes in place for staff to access support at any time and we were told by staff that they felt supported by the management team. Records clearly showed that staff also received formal supervision, appraisal and regular training.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection (and update)

The last rating for this service was requires improvement (published 02 May 2018) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by wh

Inspection areas

Safe

Good

Updated 8 August 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 8 August 2019

The service was effective

You can see our findings in the Effective findings below.

Caring

Good

Updated 8 August 2019

The service was caring.

You can see our findings in the Caring findings below.

Responsive

Good

Updated 8 August 2019

The service was responsive.

You can see our detailed findings in the Responsive findings below.

Well-led

Good

Updated 8 August 2019

The service was well-led.

You can see our detailed findings in the Well-led findings below.