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Reports


Inspection carried out on 8 July 2019

During a routine inspection

About the service

Heather House is a residential care home providing personal care for up to 10 people who live with a learning disability. At the time of our inspection there were nine people using the service. A main house accommodated up to nine people. There was a separate bungalow at the back of the main house where one person lived.

The service was also registered to provide personal care to people living in their own homes in the community. At the time of our inspection this service was not being provided.

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 who used 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 service was very responsive to suggestions made by professionals. Staff were led by a manager who was committed to improving people’s lives. People received personalised support from a flexible staff team who responded to people's changing needs. Staff supported people to access activities they had chosen and to engage with their local community.

Feedback from professionals and relatives was positive. They felt the service was the best it has ever been. People were calmer and happier.

Information was provided to people in an accessible manner. No complaints had been made about the service.

Staff meetings needed to be further developed to include staff in their planning and discussion topics. Minutes of meeting showed the registered manager took charge of the agenda. We made a recommendation about this.

People were supported by staff who knew how to keep them safe. Staff had undergone a robust recruitment process. They had been trained in safeguarding and knew how to raise concerns. Staff understood people’s personal risks and knew how to prevent avoidable harm. People’s medicines were administered in a safe manner. Actions were taken to reduce the risk of infection.

Staff were supported to learn about people’s needs through induction, training and supervision. Staff understood people’s dietary requirements. People were supported to lead a healthy lifestyle. The registered manager maintained a check on people’s annual healthcare appointments. Signage to support a person living with dementia was required to help them orientate around the home. The registered manager told us signs were on order.

People were supported to have maximum choice and control of their lives. 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 treated with dignity and respect. Staff spoke to people with kindness.

Effective arrangements were in place to monitor the quality of the service. There was a culture of continuous improvement. Feedback was requested, and action taken to improve the service. Professionals told us the registered manager and the staff worked well with them.

For more details, please see the full report whic