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Inspection Summary


Overall summary & rating

Good

Updated 8 November 2018

2, Farnham Road is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. The home provides accommodation and personal care to a maximum of five people who live with a learning disability, autism and/or associated health needs, who may experience behaviours that challenge others. At the time of inspection five people were living at the home. The home had been developed and adapted in line with values that underpin the Registering the Right Support and other best guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can lead as ordinary life as any citizen.

This comprehensive inspection took place on 4 and 5 October 2018. The inspection was unannounced, which meant the staff and provider did not know we would be visiting.

The service has a registered manager. A registered manager is a person who has registered with the Care Quality Commission (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 and associated Regulations about how the service is run.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People were protected from avoidable harm, neglect, abuse and discrimination by staff who understood their responsibilities to safeguard people. People were involved in managing their risks which were person-centred, proportionate and reviewed regularly. Restrictions were minimised so that people felt safe but also had the most freedom possible.

Medicines were administered safely, as prescribed by staff who had been assessed to be competent to do so.

Prospective staff underwent relevant pre-employment checks to ensure they were suitable to work with the people who lived with autism or a learning disability. There were always sufficient suitable staff with the right experience and skills mix, to provide care and support to meet people’s needs.

Staff effectively managed the control and prevention of infection within the service and adopted recognised safe preparation of food guidance.

The registered manager encouraged staff to raise concerns about incidents and near misses, so action could be taken to avoid further recurrence.

Staff were enabled to develop and maintain the necessary skills to meet people’s needs. People were supported to eat a healthy, balanced diet and had access to the food and drink of their choice, when they wanted it. People’s needs were assessed regularly, reviewed and updated.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice. Best interest decisions were consistently made in accordance with legislation to ensure people’s human and legal rights were respected.

People experienced consistency of care from regular staff who were kind and compassionate. There was a caring and positive atmosphere within the home, where people were relaxed and reassured by the presence of staff, whom they knew well.

Staff consistently treated people as individuals, with dignity and respect. Staff spoke with passion and pride about people’s achievements and their special qualities, which demonstrated how they valued them as individuals.

People were supported to take part in activit

Inspection areas

Safe

Good

Updated 8 November 2018

The service remains Good.

Effective

Good

Updated 8 November 2018

The service remains Good.

Caring

Good

Updated 8 November 2018

The service remains good.

Responsive

Good

Updated 8 November 2018

The service remains Good.

Well-led

Good

Updated 8 November 2018

The service remains Good.