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Stepping Stones Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 4 March 2020

About the service

Stepping Stones is a residential care home providing personal to two younger adults with a learning disability or autism at the time of the inspection. The service can support up to four people. The service was provided in a new built house.

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. There were deliberately no identifying signs, intercom, 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

People told us they enjoyed living at Stepping Stones and staff supported them to achieve their goals.

The provider and registered manager had oversight of the service and completed some checks of the service. However, these were not robust and had not identified that staff were not always recruited safely.

People were involved in everything that happened at the service. Staff knew people well and were caring. They treated people with dignity and respect. People told us they felt safe at Stepping Stones and got on well with staff.

Assessments of people’s needs and any risks had been completed. People had planned their support with staff and took managed risks. Staff knew the signs of abuse and were confident to raise any concerns with the registered manager. People were not discriminated against and received care tailored to them.

People were supported to be independent and took part in household chores and activities they enjoyed at the service and in their community.

People were supported to be as healthy as possible. Staff supported them to health care appointments and for check-ups. People’s medicines were managed safely. People were supported to plan and prepare balanced meals, of food they liked and met their needs and preferences.

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 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.

Staff felt supported by the registered manager and were motivated. Staff worked as a team and supported people in a consistent way. Records in respect of each person were accurate and held securely.

There were enough staff to support people. Staff had completed the training they needed to fulfil their role. Staff were clear about their roles and responsibilities and shared the provider’s vision for the service.

The service was clean and well maintained. People used all areas of the building and grounds.

A process was in place to investigate and resolve any complaints or concerns received.

The registered manager had informed CQC of significant events that had happened at the service, so we could check that appropriate action had been taken.

For more details, please see the full r

Inspection areas

Safe

Requires improvement

Updated 4 March 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 4 March 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 4 March 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 4 March 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 4 March 2020

The service was not always well-led.

Details are in our well-Led findings below.