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Inspection Summary

Overall summary & rating


Updated 23 May 2019

About the service

Northfield House provides care and support for up to eight people with a learning disability or autism in one adapted building. At the time of the inspection eight people were using the service.

People’s experience of using this service

The principles and values of Registering the Right Support other best practice guidance ensure people with a learning disability or autism who use a service can live as full a life as possible and achieve the best outcomes that include control, choice and independence. At this inspection the provider had ensured they were applied.

The outcomes for people using the service reflected the principles and values of Registering the Right Support. People's support focused on them having as many opportunities as possible for them to lead an active life.

Staff provided people with timely support to people and they knew how to intervene in the least restrictive and positive way. This approach had fostered positive relationships between staff and the people they supported.

The registered manager was keen to make changes that would impact positively on people’s lives. They had taken appropriate action to identify and minimise risks including risks associated with medicines. Where needed additional staff training and support had been provided to improve staff performance and drive continuous improvement.

Staff were safely recruited and when we visited we found the service was adequately staffed. Appropriate safeguarding procedures were followed.

People were protected by the prevention and control of infection.

Effective systems were in place for measuring outcomes for people who lived at the service. These were used to highlight areas for improvement and promote safe, consistent care.

We received positive feedback about leaders and the registered manager. Staff told us that they felt supported by the manager and senior management team.

Rating at last inspection

At the last inspection the service was rated good (published 7 December 2017).

Why we inspected

We received concerns in relation to the management of medicines and risk management. As a result, we undertook a focused inspection to review the Key Questions of Safe and Well-led only. No risks, concerns or significant improvement were identified in the remaining Key Questions through our ongoing monitoring or during inspection activity so we did not inspect them. The ratings from previous comprehensive inspection for these Key Questions were included in calculating the overall rating in this inspection. The overall rating for the service has remained Good based on the findings and ratings of Key Questions Safe and Well-led at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Northfield House on our website at

Follow up

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

Inspection areas



Updated 23 May 2019

The service was safe.

Details are in our Safe findings below.



Updated 23 May 2019



Updated 23 May 2019



Updated 23 May 2019



Updated 23 May 2019

The service was well-led.

Details are in our Well-Led findings below.