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Inspection Summary


Overall summary & rating

Good

Updated 21 February 2020

About the service

Castle Hill Court is a supported living service that currently provides personal care for people who may be living with mental health conditions and/or a learning disability. At the time of the inspection the service was supporting 6 people who received support with personal care and lived in two domestic houses. Staff are available to support people 24 hours a day and a member of staff is available at night at the houses. The office of the service is based near Manchester with parking available.

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.

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

People were protected from avoidable harm. Staff carried out risk assessments and care documentation recorded the actions required to minimise risks. Staff had completed safeguarding training and told us they would report any concerns to the registered manager, nominated individual or external authorities to ensure people were protected from avoidable harm. Safe recruitment practices were followed, and staff were deployed effectively, so they could meet people's needs. Medicines were managed safely, and staff received training and practical assessment to check their competency in this area.

People were cared for by staff who were competent and knowledgeable about people's needs. Training and supervision was arranged to ensure staff had the skills to carry out their role. Staff supported people to see healthcare professionals if this was needed. People’s nutrition and hydration was addressed to promote well-being. 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 treated people with dignity and respect. Staff told us how they respected people and ensured their privacy and dignity was maintained. Care was person centred, met people's individual needs and achieved good outcomes. Wherever possible, people and their relatives were involved in discussions about their care.

People were encouraged to pursue their own interests and staff knew people well. Staff sought feedback from people on an informal basis and supported people to raise any comments with them. A complaints procedure was available, and staff told us they viewed complaints as an opportunity to learn.

The registered manager and management team had promoted an open and transparent culture within the home and an ethos of teamwork to support people to live happily and safely. Staff, the registered manager and management team worked closely together, and with external health professionals, to help enable people to have the best outcomes possible. The registered manager carried out regular checks on areas such as medicines, infection control, accidents and incidents and the environmen

Inspection areas

Safe

Good

Updated 21 February 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 21 February 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 21 February 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 21 February 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 21 February 2020

The service was well-led.

Details are in our well-Led findings below.