About the serviceCambuslodge is a small care home providing personal care to five adults with learning disabilities in Fulham.
People’s experience of using this service
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.
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. The service advocated to make sure people had their choice of activities and the healthcare support they needed.
People told us they were happy living in the service and were treated with kindness and respect by staff. Comments included “I’m happy here” and “staff are very nice, incredible really.”
People were encouraged to have responsibilities in the running of the house and to develop their independence. People told us they did activities of their choice and were supported to pursue their interests. The home had a friendly dog who had lived there for many years. People using the service loved the dog and played a role in walking, feeding and looking after her.
Risks to people’s safety were managed in a way which promoted their independence. Care workers were recruited safely and there were enough staff available to support people safely in the house and to access their activities.
People were in charge in planning and reviewing their care and setting goals for their independence. People increased their independence which enhanced their involvement in the local community and relationships with family and friends. People were supported to communicate well and speak up about their views.
Care workers received enough training and supervision to develop their skills and meet people’s needs. Staff were proactive in addressing people’s health needs and promoting healthier lifestyles and balanced diets. People were 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 the service supported this practice
The manager and director were closely involved in the running of the service and promoted an open culture. There were regular meetings of the staff team and residents and strong links with other services in the area.
The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.
As part of the thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people.
The service used positive behaviour support principles to support people in the least restrictive way. No restrictive intervention practices were used.
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 7 March 2017).
Why we inspected
This was a routine inspection in line with our re-inspection guidelines. No concerns had been raised about the service.
Follow up
We will continue to monitor information and intelligence we receive about the service until we return to visit as per our re-inspection guidelines. We may inspect sooner if any concerning information is received.