You are here

Inspection Summary


Overall summary & rating

Good

Updated 20 June 2018

The inspection took place on the 15 May 2018 and was unannounced. Autism Wessex are a charitable organisation delivering education, support and care services to people on the autistic spectrum. They operate in Dorset, Hampshire and Somerset. Penny Farthing House is a residential home provided by Autism Wessex and provides accommodation and support with personal care for young people of both sexes on the autistic spectrum with associated needs, and who may, at times, display behaviours which challenge.

Penny Farthing House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Penny Farthing House can accommodate up to four people in one adapted building. At the time of our inspection four people were living at the home. 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.

We last inspected this service on 23 April 2015 and we identified one area where improvement was required in respect of decision making not being underpinned by the completion of a mental capacity assessment. At this inspection we found improvements had been made and mental capacity assessments were now in place for all aspects of care.

Relative told us their loved ones were safe staying at Penny Farthing House and risks to people were minimized through risk assessments. These covered activities and associated health and safety issues both within the home and in the community. There were plans in place for foreseeable emergencies.

Relevant recruitment checks were conducted before staff started working at the home to make sure they were of good character and had the necessary skills. Staff had received training in safeguarding adults and knew how to identify, prevent and report abuse. There were enough staff to keep people safe.

Although some of the young people could display behaviours which challenged. Staff were knowledgeable about the complex needs of the people using the service. They completed a wide range of training and felt it supported them in their job role.

People are 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 place in the service supported this practice.

People were supported to take their medicines safely by suitably trained staff. Medication administration records (MAR) confirmed people had received their medicines as prescribed.

People received varied meals including a choice of fresh food and drinks. Staff were aware of people’s likes and dislikes and went out of their way to provide people with what they wanted.

Staff sought consent from people before providing care or support. The ability of people to make decisions was assessed in line with legal requirements to ensure their liberty was not restricted unlawfully. Decisions were taken in the best interests of people. People were supported to have maximum choice and control of their lives.

New staff completed an induction designed to ensure they understood their new role before being permitted to work unsupervised. Staff received regular support and one to one sessions or supervision to discuss areas of development.

People were cared for with kindness and compassion. Care plans provided comprehensive information about how people wished to receive care and support. This helped ensure people received personalised care in a way that met their individual needs.

People were involved in their care plans and reviews. People were supported and encouraged to make choices and had access to a range of activities. S

Inspection areas

Safe

Good

Updated 20 June 2018

The service remains good.

Effective

Good

Updated 20 June 2018

The service is now rated good.

Staff were provided with training and support through one to one supervisions that gave them the skills to care for people effectively.

People were supported to access health professionals and treatments, and were supported with eating and drinking.

Staff sought consent from people before providing care and followed legislation designed to protect people's rights.

Caring

Good

Updated 20 June 2018

The service remains good.

Responsive

Good

Updated 20 June 2018

The service remains good.

Well-led

Good

Updated 20 June 2018

The service remains good.