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Inspection Summary


Overall summary & rating

Good

Updated 13 November 2019

About the service

Cathedral View is a care home that provides respite and short break stays for up to eight people who have a learning disability. At the time of our inspection two people were staying at the service. The ground floor single storey service is divided into two separate spaces, each that accommodates up to four people

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 told us they felt safe whilst staying at the service. People were protected from the risks of harm, abuse and discrimination. Staff knew what their responsibilities were in relation to keeping people safe. We observed people to be relaxed around staff.

Staff were recruited following safe processes and received appropriate support and an induction into the service. Staff also received supervisions and attended regular team meetings.

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 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.

People were supported to maintain a healthy diet and had access to healthcare professionals should they need them.

There were quality assurance systems in place to monitor the running of the service and the quality of the service being delivered.

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 positive behaviour support principles to support people in the least restrictive way. No restrictive intervention practices were used.

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 Good (published 24 October 2018). At this inspection we found the provider had sustained this rating.

Why we inspected: This was a planned inspection based on the previous rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Cathedral View on our website at www.cqc.org.uk.

Follow up: We will continue to monitor information we receive about the service until we retu

Inspection areas

Safe

Good

Updated 13 November 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 13 November 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 13 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 13 November 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 13 November 2019

The service was well-led.

Details are in our well-Led findings below.