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Inspection Summary


Overall summary & rating

Outstanding

Updated 6 June 2020

About the service

Vicarage Lodge is registered to provide accommodation and personal care for up to three people. It has been specifically designed for those with profound and multiple learning disabilities who use wheelchairs. At the time of this inspection there were three people living at the home.

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

Staff went the extra mile to support people to undertake a variety of exciting and challenging activities of their choice which interested them. Relatives said staff had helped people develop and widen their experiences in ways that they never thought would be possible. One relative said, “They are forward thinking, they put the individual first. They have an individual time table, whatever their interests are.”

Staff used creative and inclusive ways to help people communicate their wants and wishes. Staff used a diverse range of tools and strategies to help people communicate their choices and preferences. People with very complex conditions were empowered by staff through this approach, to make daily living choices for themselves.

The provider's vision and values were inclusive and person-centred to make sure people were at the heart of the service. This vision was driven by the exceptional leadership of the management team. Relatives spoke extremely highly about the provider and Vicarage Lodge. Comments included, “They are a wonderful company who do great things” and “It should be held up as an exemplary company. They have found a different way to provide care.”

There was a strong emphasis on continuous improvement. One relative told us, “They are always learning to see how they can further people’s wellbeing.” An advanced centralised electronic monitoring system was in place. Every aspect of people’s care and support and the management of the service were monitored in ‘real time.’ This enabled management staff to immediately identify any issues or changes that needed attention and evidence showed that they acted swiftly, applying the ethos of the service to continually strive for improvements to people’s individualised care experiences.

People were fully and regularly supported to take positive risks to enable them to live fulfilling lives. Core staff teams worked extremely effectively together and were built around meeting the needs of people.

There was a strong emphasis on the importance of eating and drinking well. The provider had set up ‘training kitchen’ workshops. Staff and people attended sessions to learn about the effects of cooking and pureeing of food.

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 received care and support from staff who knew them well. Relatives were positive about the care provided. One relative told us, “They look after [name of person] as well as we could.”

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rat

Inspection areas

Safe

Good

Updated 6 June 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 6 June 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 6 June 2020

The service was caring.

Details are in our caring findings below.

Responsive

Outstanding

Updated 6 June 2020

The service was exceptionally responsive.

Details are in our responsive findings below.

Well-led

Outstanding

Updated 6 June 2020

The service was exceptionally well-led.

Details are in our well-led findings below.