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Inspection Summary


Overall summary & rating

Outstanding

Updated 19 June 2019

About the service: The service provided care and support to adults with learning disabilities or autistic spectrum disorder in their own homes. At the time of the inspection 14 people were being supported by the service.

Rating at last inspection: Outstanding (report published 24 April 2016)

At this inspection we found the service continued to improve and maintained their outstanding rating.

People’s experience of using this service:

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 support this practice.

The service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

Positive risk taking continued to be a focus of the organisation to enable people to live the life they wanted and be part of the community. People, where possible, were supported to understand the risk involved in any activities they were doing and how to stay safe.

There was a strong ethos of learning from when things went wrong. Lessons were learned across the organisation to understand what changes were required from a provider`s point of view and staff`s point of view. Changes were implemented effectively ensuring staff and management understood what the changes were and how their practices had to change to benefit people.

People, relatives and professionals were very complimentary about the positive outcomes people achieved. The registered manager had personal experience of a close family member living with a learning disability for whom the service was originally set up. This had enabled the provider to have an invaluable understanding of the quality of support they wanted to provide to people. The provider`s systems and processes enabled staff to place the person in the centre of the support they received. People were supported to gain confidence and important life skills which helped build their independence.

The service was flexible and adaptable to each person`s needs to ensure people reached their full potential and could live independently in their own homes. People and, where appropriate, their relatives appreciated that they were involved in recruiting the staff team to support them.

The provider had a well-developed management system in place with clear responsibilities for every member of their staff team. This ensured that communication was effective and the decision-making process for any actions needed to improve the service were taken promptly.

Without exception, people and relatives praised the staff for their caring attitude and their commitment to support people to overcome barriers and live life to the full.

People`s care plans were personalised and reflected people`s voice about how they wanted staff to support them. There were regular meetings with people, relatives and professionals to ensure their care and support needs were reviewed and they were happy with the support they received.

Relatives told us the service exceeded their expectations in supporting people to achieve better outcomes which had not been possible where they had lived previously.

People took part in a range of personal development programmes. Individual programmes were designed to offer both familiar and new experiences to people, and the opportunity to develop new skills. People who used the service accessed a range of community facilities and completed activities within the service.

The provider's governance was well-embedded and there were effective assurance systems that ensured ongoing compliance. Since our last inspection the provider improved how they monitored the quality of the service, the risk management plans, training for staff and other areas of the se

Inspection areas

Safe

Outstanding

Updated 19 June 2019

The service remains Outstanding.

Details are in our Safe findings below.

Effective

Outstanding

Updated 19 June 2019

The service remains Outstanding.

Details are in our Effective findings below.

Caring

Outstanding

Updated 19 June 2019

The service remains Outstanding.

Details are in our Caring findings below.

Responsive

Outstanding

Updated 19 June 2019

The service remains Outstanding.

Details are in our Responsive findings below.

Well-led

Outstanding

Updated 19 June 2019

The service remains Outstanding.

Details are in our Well-Led findings below.