20 April 2022
During a routine inspection
About the service
Osborne House is a supported living service. It provides care and support to two people who have a learning disability who live together in one house in Taunton (called ‘Roy's Place’). They are supported by a very small team of four care staff. There are no immediate plans for the service to provide care to any new people, although they may in the future.
People's experience of using this service and what we found.
The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.
Right Support
People were supported to have maximum possible 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 supported by staff to be involved in all decisions about their care and support. Staff used communication methods which were personal to the individual to enable them to express themselves. People's families felt involved.
People received personalised care and support which was completely built around their needs and preferences. People had their own small staff team who they knew and trusted.
Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome.
People were supported by staff to pursue their interests and take on new challenges to enhance their quality of life. People led very active and social lives and were able to try new things that interested them.
Staff supported people to achieve their aspirations and goals. One family member told us “He has learned a lot since moving here and he is a lot more independent. He makes a lot more choices. I am delighted as he now has a whole different life to what he had before.”
Staff enabled people to access specialist health and social care support in the community.
Right Care
People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs.
Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.
The service had enough appropriately skilled staff to meet people’s needs and keep them safe.
People who had individual ways of communicating could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs.
People's care and support plans reflected people's needs and preferences and this enhanced their wellbeing and enjoyment of life. Staff had an excellent understanding of people's needs and were flexible to enable them to meet changing needs and wishes.
People received care that was focused on their quality of life and followed best practice.
People could take part in activities and pursue interests that were tailored to them. The service gave people opportunities to try new activities that enhanced and enriched their lives.
Right culture
People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff.
People were supported by a management team who worked hard to promote a culture where people were valued and respected as individuals. This culture enabled people to develop and flourish. Staff spoken with were committed to the values of the organisation.
The culture and practice of the organisation achieved positive outcomes for people. This had resulted in people being happier and more content and a reduction in the number of staff needed to keep them safe.
People were supported by staff who understood best practice in relation to the wide range of strengths, impairments or sensitivities people with a learning disability and/or autistic people may have. This meant people received compassionate and empowering care that was tailored to their specific needs.
Staff placed people’s wishes, needs and rights at the heart of everything they did.
Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing. Everyone was cared for and valued as the individual they were. All care was tailored to their individual needs.
People and those important to them were involved in planning their care.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
This service was registered with us on 16 February 2021 and this is the first inspection.
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.