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Inspection Summary


Overall summary & rating

Good

Updated 14 August 2019

About the service

Kynaston Farm is a residential care home providing personal care for up to six people living with learning disabilities and/or autistic spectrum. Some people also had physical disabilities and sensory impairments. Six people were living at the service at the time of the inspection.

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, 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

Fire safety was not always managed well, which could put people at risk in the event of a fire. We made a recommendation about this.

People’s safety was supported through the use of positive risk management and risk assessments. They were involved in selecting staff they felt safe and comfortable with supporting them. Relatives had confidence their family members were safe and the service was appropriately staffed.

The service consistently 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 received effective care from a consistent, skilled staff team, who understood their goals. The service worked with healthcare services to promote people’s health and access the relevant professionals when needed.

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 central in making decisions about their care.

People thrived living in a warm, welcoming service where they felt a sense of belonging and their emotional needs were supported.

Staff actively looked for opportunities to improve people’s wellbeing and promote their independence. They were able to try new activities and set goals to work towards, such as losing weight or improving their communication. Changes to their care needs were responded to appropriately.

The provider was committed to providing high quality, personalised care. This aim was understood by staff and reflected in the care people received and the management of the service. People, relatives and staff were involved in the running of the service and encouraged to give their feedback.

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 rating for this service was good (published 18 October 2016).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 14 August 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 14 August 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 14 August 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 14 August 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 14 August 2019

The service was well-led.

Details are in our well-led findings below.