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Inspection carried out on 16 January 2020

During a routine inspection

About the service

Turnbull Close is a residential care home providing personal care to 10 people living with a learning disability and / or complex physical needs at the time of the inspection. The service can support up to 12 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.

The service was a large home, bigger than most domestic style properties. It was registered for the support of up to 12 people. Ten people were using the service at the time of the inspection. This is larger than current best practice guidance. However, the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. The service is split into two joining units, each with six bedrooms, a bathroom, a kitchen and a lounge. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

People’s experience of using this service and what we found

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 be an active part of the local community, for example visiting day centres and cafes and they were supported with attending jobs and activities.

People were supported by enough staff who had been recruited safely and were trained and knowledgeable. The registered manager kept the staffing levels under constant review. This enabled them to make sure people were supported to attend appointments, work and other activities.

Risks to people’s health, safety and well-being were identified and measures were in place to minimise risks. Staff knew how to keep people safe and understood how to protect people from the risks of abuse, discrimination and harm. They knew how to report any concerns and felt they would be listened to. People were relaxed in the company of each other and staff. Staff knew people well and were observant in noticing small changes in people’s body language which may indicate they were unhappy, in pain or anxious. They knew what action to take to reduce people’s anxiety.

People were supported to have their medicines safely and on time. People’s physical, mental health, social and emotional needs were regularly reviewed, and they were referred to health care professionals when needed. Staff followed advice and guidance from health care professionals to help people stay as healthy as possible.

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.

People were supported by kind, caring and compassionate staff. Throughout the inspection we saw positive interactions and staff helped people to do things for th