Eco Nights is a residential respite care service providing personal care for younger adults at the time of the inspection. People who use the service have varying complex needs such as; sensory impairment, autism, learning and/or physical disability. The shared residential care home was registered for the support of up to 6 people in line with best practice guidance. 39 people regularly used the service for varying lengths of stays. When we visited there were 6 people using the service. The residence has shared amenities of kitchen, lounge, bathrooms and garden.
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
The registered manager and staff told us how important the services' shared values were to them, and how they were passionate about providing outstanding person-centred care to young people when they needed it, to enable them to live fulfilled, meaningful lives.
The registered manager told us, “We intend to continue to support people and their families who are approaching and are in crisis. We are prepared to do as much as we possibly can to support everyone involved.”
Relatives told us they thought the staff were highly compassionate, caring and empathic people who had made a difference to their lives when they had nowhere else to turn. The consistency of staff enabled meaningful relationships to be created between staff and people. The manager told us, “We strive to be a home from home setting for people, so families can get the respite they need.”
People’s medicines were well managed, and they were supported to access healthcare services. A community professional told us, “Eco Nights have worked closely with me and colleagues in health and have developed a very good understanding of people’s needs.”
People were treated with dignity and respect. Their lifestyle and equality needs and choices were understood and respected. Care plans were detailed and outlined the support people needed. These records were regularly reviewed to make sure they reflected changes to people's circumstances.
People were protected from the risks of harm and abuse. Enhanced risk assessments were in place to identify and help reduce the likelihood of people experiencing injury or harm. People’s privacy was respected.
Recruitment processes were ongoing. Staff were trained and supervised to make sure they met people's needs effectively. They had been recruited using appropriate procedures.
The service had effective leadership. Staff understood their responsibilities and worked together as a team. There were systems to monitor the quality of people's care to make sure it was effective and safe.
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 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 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 provider 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. Some minor restrictive intervention practice was used as a last resort, in a person-centred way, in line with positive behaviour support principles.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 29 November 2016).
Why we inspected
This was a planned inspection based on the previous rating.
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.