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Inspection Summary


Overall summary & rating

Good

Updated 1 March 2019

About the service: This service supported people with learning disabilities and/or autism; the service is registered to care for up to 20 people. At the time of the inspection 14 people were using the service. This is larger than the current best practice guidance. However, the size of the service having a negative impact on people was mitigated by the building design which allowed people to live together in smaller numbers. The site was separated into three self-contained bungalows. Staff were discouraged from wearing anything that suggested they were care staff when coming and going with people.

People’s experience of using this service: People were supported to live enriched lives and achieve good outcomes. People were encouraged and supported to take positive risks to allow for an unrestricted and meaningful life. Staff showed a good understanding of their roles and responsibilities for keeping people safe from harm. Medicines were managed safely and people received medication at the right time for them. Families told us they felt people were extremely safe whilst being supported by staff and felt able to live a safe, fulfilled life.

Care plans were extremely detailed and identified people’s communication needs. Staff provided care and support that was delivered in a way people preferred and provided consistent and positive outcomes. People who lacked capacity were supported to have maximum choice and control of their lives. Policies and systems supported them in the least restrictive way possible

Family members spoke enthusiastically about how consistently kind and caring staff and managers were. Staff were highly motivated to provided a person-centred culture and delivered care in a kind and compassionate way that was based on people’s preferences.

The leadership of the service demonstrated a high level of experience and capability to deliver good care; they were knowledgeable and passionate about their role. The registered manager demonstrated a strong and supportive leadership style, seeking feedback in order

to further improve the care and support provided. They promoted a culture that was extremely person-centred and inclusive which staff recognised and appreciated. Staff were proud to work at the service. The registered manager showed a continued desire to improve on the service and worked closely with other agencies and healthcare professionals to do this. Effective systems were in place to check on the quality and safety of the service and improvements were made when required.

The outcomes for people using the service reflected the principles and values of Registering the Right Support in the following way; promotion of inclusion and choice and control. People’s support focused on them having as many opportunities as possible for them to live a full and meaningful life.

The service met the characteristics of good in all areas; more information is in the full report

Rating at last inspection: Good (report published 10 August 2016)

Why we inspected: This was a planned inspection based on previous rating.

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

Inspection areas

Safe

Good

Updated 1 March 2019

The service was safe.

Details are in our Safe findings below.

Effective

Good

Updated 1 March 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 1 March 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 1 March 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Good

Updated 1 March 2019

The service was well-led.

Details are in our Well-Led findings below.