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Inspection Summary


Overall summary & rating

Good

Updated 11 July 2018

This inspection took place on the 14 May 2018 and was unannounced. The inspection team consisted of one inspector. The service was previously under a different provider and was recently purchased by Ambito Care and Education as of 1 May 2018.

Henderson and Harvard is a registered care home providing 24 hour care for eight adults with severe or profound learning disabilities and those with additional mobility or physical difficulties. The care home is two linked bungalows purpose built house in a residential road in Tiptree, Essex. It has a very large garden, two separate lounges, dining areas and each person has a single room with ensuite. There is a rear-enclosed garden at the back of the house with level access. At the time of our inspection there were eight people using the service.

The care 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.

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.

The service was safe. The recruitment process ensured that appropriate checks were carried out before staff commenced employment. There were sufficient staff on duty to meet the needs of people and keep them safe from potential harm or abuse. The service assessed people's health and wellbeing needs and carried out risk assessments to minimise risks to health. The registered manager and staff kept people's medication records up to date.

The service was effective. People were cared for, and supported by staff, who had received training to support people and to meet their needs. The registered manager had a good understanding of their responsibilities in relation to the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. 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. People were supported to eat and drink enough to ensure they maintained a balanced diet and referrals to health and social care services were made when required.

The service was caring. Staff cared for people in an empathetic and kind manner. Staff had a good understanding of people's preferences of care. Staff worked hard to promote people's independence through encouraging and supporting people to make informed decisions.

The service was responsive. Records we viewed showed people and their relatives were involved in the planning and review of their care. Support plans were reviewed on a regular basis and when there was a change in care needs. People were supported to follow their interests and participate in social activities. The service responded to complaints in a timely manner.

The service was well-led. Staff and people spoke very highly of the registered manager and the provider who were supportive and worked hard to provide a good service. The service had systems in place to monitor and provide good care and these were reviewed on a regular basis.

Inspection areas

Safe

Good

Updated 11 July 2018

The service provided was safe.

Systems were in place to ensure that people were supported safely by staff. There were enough staff available to do this.

People were cared for in a safe environment.

Systems were in place to support people to receive their medicines appropriately and safely.

Risks were clearly identified and systems were in place to minimise these and to keep people as safe as possible.

Effective

Good

Updated 11 July 2018

The service was effective.

Staff received an induction when they commenced employment with the service and attended various training courses to support them to deliver care safely and fulfil their role.

The manager and staff we spoke with had a good understanding of their responsibilities in relation to the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards.

The dining experience for people was suitable to meet their needs and people’s nutritional requirements were being met. In addition, referrals to health and social care services were made when required.

Caring

Good

Updated 11 July 2018

The service was caring.

Staff cared for people in an empathetic and kind manner.

Staff had a good understanding of people's preferences.

Staff always worked hard to promote people's independence through encouraging and supporting people to make informed decisions.

Staff knew people well and what their preferred routines were.

Responsive

Good

Updated 11 July 2018

The service was responsive.

People received individualised care and support. They were encouraged to make choices and to have as much control as possible about their lives.

People's healthcare needs were identified and responded to. The signs that a person's mental health might be deteriorating were identified and staff were aware of these.

People were encouraged to be involved in activities of their choice in the community.

People were confident that any concerns would be listened to and addressed.

Well-led

Good

Updated 11 July 2018

The service was well-led.

People were happy with the way the service was managed and with the quality of service.

The registered manager and the provider monitored the quality of the service provided to ensure that people's needs were being met and that they were receiving a safe and effective service.

The registered manager provided clear guidance to staff to ensure that they were aware of what was expected of them.

The staff team worked in partnership with relevant health and social care practitioners.