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Alderwood L.L.A. Limited - Westfield Good

Inspection Summary


Overall summary & rating

Good

Updated 27 January 2016

Alderwood LLA Ltd Westfield provides accommodation, personal care and support for two people with a learning disability and autistic spectrum disorder. It is situated in a residential part of Wellingborough. On the day of our inspection two people were receiving a bespoke service, tailored to their specific needs and requirements, which included some day care and overnight stays in the service.

The inspection took place on 4 November 2015.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission 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.

We found a really positive, caring and progressive atmosphere within the service. People were at the heart of the service and all aspects of care had been centred on them and their needs. There was lots of laughter and good humour, with kind and trusting relationships evident between staff and people. People were involved in the planning of their care and told us they felt included in discussions, being able to have their say at each step of the way. Staff were passionate about their work and driven by a desire to provide high quality care. They were flexible and adaptable, ensuring that people participated in their own care and achieved their full potential, helping them to lead a meaningful life, doing things that were important to them. The provider philosophy was that people should be able to access the best of everything in life and have ample opportunities to achieve their goals.

The service was led by a dedicated and passionate registered manager, who was well supported by a strong and positive management structure within the provider organisation. The culture within the service was open, optimistic and encouraging; staff were proud to work for the service and wanted it to be the best it could. Staff and the registered manager were extremely well motivated and committed to their work; they faced up to challenges and used these to improve things. They had strong values and a shared vision, and strived to give people positive care experiences and provide high quality care.

Staff attended regular meetings, which gave them an opportunity to share ideas, and exchange information about possible areas for improvements to the registered manager. Ideas for change were welcomed by the registered manager and provider, and used to drive improvements and make positive changes for people. Quality monitoring systems and processes were used robustly to make positive changes, drive future improvement and identify where action needed to be taken. All staff told us they wanted standards of care to remain high and so used the outcome of audit checks and questionnaires to enable them to provide excellent quality care.

People felt secure in the service and we observed they were calm and relaxed in the presence of staff. Staff had a positive approach towards keeping people safe and demonstrated a strong awareness of what constituted abuse. They understood the relevant safeguarding procedures to be followed in reporting potential abuse. Staff were committed to managing fluctuating risk factors for people and had a good understanding of how to support them when they became anxious or distressed. Potential risks to people had been identified, and detailed plans implemented to enable them to live as safely and independently as possible.

Robust recruitment checks took place in order to establish that staff were safe to work with people before they commenced employment. There were sufficient numbers of staff available to meet people’s care and support needs and to enable them to do the things they enjoyed. People received their medication as prescribed. Safe systems and processes were in place to protect people from the risks associated with medication.

Staff received regular training, based upon best practice in autism, which provided them with the knowledge and skills to meet people’s needs in a person centred manner. They were well supported by the registered manager and senior management team in respect of supervision and appraisal which enabled them to remain motivated and responsive to people’s individual needs.

Staff sought people’s consent before they provided care and support. Where people were unable to make certain decisions about their care, the legal requirements of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards (DoLS) were followed. Where people had restrictions placed upon them, staff ensured people’s rights to receive care that met their needs was protected, and that any care and treatment was provided in the least restrictive way.

People were supported to access suitable amounts of good quality, nutritious food. A variety of meal options were available for people, which included specific health and cultural dietary requirements. We found people were encouraged and supported to participate in meal preparation as part of developing their life skills. Referrals to health and social care professionals were made when appropriate to maintain people’s health and well-being. Staff worked closely with other professionals to ensure people’s needs were fully met.

People had been supported to develop life skills and gain independence, using individually created development programmes. The support for this was provided by a highly skilled staff group, who shared a strong person centred ethos and were dedicated to helping people lead a fulfilled and enriched live. People and their relatives expressed their delight at the progress they had made since coming to the service, which was often way beyond the level of achievement they had previously hoped for. Staff used innovative ways to support people to move forward, adapting when their needs changed. They had a strong understanding of people’s interests and hobbies and accessed a wide range of activities that were tailored to people’s individual needs. People were actively supported to integrate within the local community, using local facilities to avoid social isolation. To facilitate this, the service had developed links with local colleges, libraries and local employers offering work experience

Inspection areas

Safe

Good

Updated 27 January 2016

The service was safe.

People were protected from abuse and avoidable harm. Risk assessments were in place, which enabled staff to promote positive risk taking and people to remain safe.

There was sufficient experienced and trained staff to meet individual people’s needs. Robust recruitment systems were in place to ensure that staff were suitable to work with people.

Suitable arrangements were in place for the safe administration and management of medicines.

Effective

Good

Updated 27 January 2016

The service was effective.

Staff were provided with regular training to develop their skills and knowledge to enable them to perform their duties effectively. People received care based on current best practice for people living with autism.

People’s rights had been protected from unlawful restriction and decision making processes. The service was meeting the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS.)

People’s nutritional needs were appropriately met and they were supported to enjoy a balanced diet. Staff ensured that people’s health and social care needs were met so they could remain healthy and enjoy a good quality of life.

Caring

Good

Updated 27 January 2016

The service was caring.

Staff were extremely kind, and caring in their approach to people. They were committed to supporting people to be as independent as possible and valued them for who they were. People were placed at the heart of the service.

The ethos within the service was open and honest, people considered that staff were friends and had built up trusting relationships with them, being involved in decisions about the care they received. People were treated with dignity and respect and staff worked hard to ensure this was maintained not only amongst the staff team, but between each person as well.

People were supported to maintain strong family relationships. Relatives considered that staff went ‘above and beyond’ to ensure that people were treated with compassion.

Responsive

Good

Updated 27 January 2016

The service was very responsive.

Staff took time to get to know people before they moved into the service, so the provision of care could be tailored to their specific requirements. They knew people’s individual needs, likes and dislikes and provided truly person centred care.

People had a choice about their daily routine and any activities they chose to do were flexible, so they had control over their lives. The service had creative ways of ensuring people were fulfilled and led enriched lives.

People and their relatives were encouraged and supported to provide feedback and express their views on the service.  Feedback was used to drive improvements.

Well-led

Outstanding

Updated 27 January 2016

The service was extremely well- led.

People were placed at the heart of the service delivery. They were supported by a highly motivated, consistent and dedicated team of care staff who worked to the provider philosophy.

The provider and registered manager promoted strong values and a person centred inclusive culture. Staff were proud to work for the service and were supported in understanding the values to ensure that high quality, holistic care was given to people.

Management arrangements were in place to ensure the effective day to day running of the service. The management team were very approachable and supportive, toward people, relatives and staff helping them to reach their full potential.

The provider had robust systems in place to monitor and improve the quality of the service people received. There was a strong emphasis on continual improvement and the use of best practice guidelines to benefit people and staff. The service worked with relevant professionals and organisations to promote understanding.