About the serviceSherburn House provides accommodation and personal care for up to 12 people who have a learning disability and/or autism. At the time of our inspection, 11 people were using the 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 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 received planned and co-ordinated person-centred support that was appropriate and inclusive for them.
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 was a large home, bigger than most domestic style properties. It was registered for the support of up to 12 people. Eleven people were using the service. This is larger than current best practice guidance. However, the size of the service having a negative impact on people was mitigated by the building design fitting into the local residential area and operating as two small wings.
People’s experience of using this service and what we found
The service delivered safe care and made sure risks to people’s health and safety were managed well. People’s relatives told us they had every confidence in the management team and staff and their family members were ‘in safe hands’. Staff knew their responsibilities in relation to keeping people safe from the risk of abuse. Staff were recruited safely and there were enough staff to meet people's needs. Medicines were managed so people received their medicines as prescribed.
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. Staff understood how people communicated their wishes and preferences. Staff supported people to maintain a balanced diet and monitor their nutritional health. They had the skills and knowledge to meet people’s needs. They felt supported and received supervision and appraisals of their performance.
Staff were patient, friendly and kind, and people's privacy and dignity were respected. Staff showed they valued people as individuals and had formed supportive relationships with people. They knew how people preferred their care and support to be provided.
People had up to date support plans, which clearly set out how their care and support needs should be met by staff. These were reviewed regularly with the involvement of people’s relatives. We saw people's rights were respected. People chose to pursue a variety of activities and interests at the service and in their local community. People’s relatives knew how to complain and felt confident any concerns would be listened to and responded to by the registered manager.
There was a positive leadership in the service. The service was well led by a management team who led by example and had embedded an open and honest culture. Audits and checks were carried out to monitor the quality of care delivered. The registered manager was aware of their responsibility to report events that occurred within the service to the Care Quality Commission and external agencies.
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 28 June 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.