About the service United Response - 198 Powder Mill Lane is a care home providing care and support for up to five people with learning disabilities. The home provides permanent care and support for up to two adults with learning disabilities and respite care for up to three adults with learning disabilities. The home is managed by United Response and is situated in the Whitton area within the London Borough of Richmond Upon Thames. There were two people receiving respite care during the inspection. The home was not taking permanent people until refurbishment work was completed.
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
The home provided a safe environment for people to live and staff to work in. People enjoyed living at the home. People had risks to them assessed, this enabled them to live safely and enjoy their lives, whilst taking acceptable risks. Accidents, incidents and safeguarding concerns were appropriately reported, investigated and recorded. There were enough suitably recruited staff to meet people’s needs. Medicine was safely administered.
People were not discriminated against and their equality and diversity needs were met. People were spoken to by well trained and supervised staff in a patient, clear way that they could understand. People were encouraged to discuss their health needs and they had access to community-based health care professionals. Staff protected people from nutrition and hydration risks and they were encouraged to choose healthy and balanced diets that also met their likes, dislikes and preferences. The home was adapted to meet people’s needs. Transition between services was based on people’s needs and best interests.
The home’s atmosphere was warm, friendly and welcoming, with people enjoying the caring and compassionate way staff provided them with care and support. During our visit there were many positive interactions between people and staff. Staff observed people’s privacy, dignity and confidentiality. People were encouraged and supported to be independent and had access to advocates.
People received care that was person centred and their needs were assessed and reviewed. They had choices, followed their interests and hobbies and did not experience social isolation. People were provided with information to make decisions. Complaints were recorded and investigated.
The home’s culture was open, positive and honest with transparent management and leadership. The organisation had a clearly set out vision and values that were understood by staff. Areas of responsibility and accountability were identified, and service quality frequently reviewed. Audits were carried out and records kept up to date. Good community links and working partnerships were established. Registration requirements were met.
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.
The service applied the principles and 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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at the last inspection
The last rating for this service was good (published 26 July 2017).
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.