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Inspection Summary


Overall summary & rating

Good

Updated 11 October 2019

About the service

The Piers is a care home registered to provide accommodation and personal care for up to three people diagnosed with autistic spectrum disorders and learning disabilities. At the time of this inspection there were three people living at the home.

The service has been developed and designed in line with the values that underpin the 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 of them.

The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.

As part of thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people.

The service used some restrictive intervention practices as a last resort, in a person-centred way, in line with positive behaviour support principles.

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

People told us they were happy and comfortable living at The Piers. Our observations showed people liked the staff, who knew them well and provided their support and care with warmth, kindness, patience, respect and dignity.

We received positive feedback from relatives and health professionals about the service provided by the management team and staff at The Piers. Staff understood how to identify and report abuse and were well supported in their roles. Staff received regular team meetings, supervision and annual appraisals and completed a variety of training courses to enable them to carry out their roles competently.

Risks to people’s health, safety and well-being were assessed and management plans put in place to ensure risks were reduced as much as possible.

People were supported by safely recruited staff. There were enough appropriately trained and experienced staff to support people in ways that suited them. Communication styles and methods were tailored to individual people and staff supported people to understand the choices available to them.

People were supported and enabled 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.

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.

The service worked collaboratively with health care professionals to ensure people received the best care and support at all times. Staff were responsive to people’s changing support needs and adapted care and support according to their health needs.

Medicines were managed, stored and administered safely

Inspection areas

Safe

Good

Updated 11 October 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 11 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 11 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 11 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 11 October 2019

The service was well-led.

Details are in our well-led findings below.