About the service 134 Ashland Road provides accommodation and personal care for up to 10 people with learning disabilities and physical disabilities. At the time of our inspection seven people were living at the service. The service is one adapted ground floor building.
The service 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. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
People’s experience of using this service and what we found.
People felt safe living at the home. People followed safe procedures when greeting visitors. Risks were assessed, monitored and managed. Sufficient numbers of staff were employed with appropriate skills and competencies. Medicine protocols and best practice were followed. Systems were in place to ensure lessons were learned when things went wrong.
People’s diverse needs were assessed and included protected characteristics under the Equality Act 2010. Staff were supported to undertake relevant training to do their job. People were supported to have sufficient to eat and drink. The registered manager implemented change when required. The service worked alongside and also shared relevant information with other professionals to ensure people got the most effective care.
The premises were adapted to meet people’s needs. Where required new equipment was purchased to make sure people were responded to in a more effective way. People’s bedrooms were decorated to reflect their personality. The service was following the principles of the Mental Capacity Act.
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 home was calm, relaxed and homely. People were supported to express and share their views. People were treated with respect and dignity and encouraged to make informed choices. Staff asked permission before they provided care and treatment.
People were supported to maintain relationships, avoid isolation and achieve their goals. With an excellent opportunity to participate in group and individual activities. Staff and the management team worked with passion and dedication to ensure people achieve good outcomes and including people’s individual needs that related to their protected equality characteristics. End of life wishes were arranged with contributions of people and their families.
People’s communication support plans had accessible information. End of life plans were comprehensive and accessible, with contributions from people and their families. This had been sustained since their last inspection. There was an open and transparent culture when dealing with complaints.
The service was well-led. Auditing and quality monitoring were robust and covered every aspect of the service. This ensured areas that required attention were acted upon. This provided a positive open and transparent culture. The manager and staff team were proactive, responsive and supported people to continually achieve and develop throughout their time at the home.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was good (23 August 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.