Klair House

Updated 20 March 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection team consisted of one inspector and one assistant inspector.

Service and service type:

Klair House Limited owns two adjacent locations (Klair House and Callum House) that provide care, support and accommodation for people with mental health conditions and/or learning difficulties. Staff worked across both homes, which had the same manager who is registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the services are run and for the quality and safety of the care provided.

Klair House is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Notice of inspection:

This inspection was unannounced and took place on 3 January 2019.

What we did when preparing for and carrying out this inspection:

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. The provider returned the PIR and we took this into

account when we made the judgements in this report.

We also looked at other information we held about the service, including any statutory notifications. A notification is information about important events which the provider is

required to tell us about by law.

During this inspection we met and spoke with three people who were living in Klair House and two relatives. We spent time with people living at Klair House to see how staff supported them. We spoke with the registered manager and three members of care staff. In addition, we directly received very positive comments and feedback from three healthcare professionals.

We looked in detail at the support plans for one person living in Klair House. We also discussed records relating to the management of the home. These included systems for managing any complaints, and minutes of meetings with staff, and the registered manager’s checks on the quality of care provided.

Updated 20 March 2019

What life is like for people using this service:

• The service provided exceptionally person-centred support to people and enabled them to live as full a life as possible through understanding, encouragement, positive behaviour support, and working effectively with guidelines from healthcare professionals. Changes in people’s needs were responded to immediately and staff went beyond the call of duty to ensure people had additional support. People were made to feel cared for and treated as valued individuals.

• The service supported people coming from different areas, for example from acute hospital services, to work through and manage their symptoms, become more independent and in some cases, go on to live independently. This was supported by a thorough preassessment process. The service worked closely with involved healthcare professionals to ensure people received holistic care which took into account all areas of their lives. This enhanced people’s health and wellbeing.

• Staff had access to a wide range of training which in turn supported them to meet people’s needs effectively. They sought advice from a wide range of healthcare professionals, and took initiative to support people according to their needs at the time. This included working with people to manage their symptoms with minimal negative impact wherever possible. Staff knew people extremely well, and what approaches were effective with them, which added to the effectiveness of the service.

• People were supported by a positive, proactive staff team who were accountable for their actions and knew what was expected of them. The ethos and values of the service was evident throughout the home. Staff supported people with a wide range of activities, hobbies and interests, and were there to listen to people when they needed. People had privacy and their own space, which staff respected.

• There was exceptionally good leadership in place, and the registered manager worked closely with staff and was always visible, regularly talking with people living in the home and participating in supporting people. There were highly effective systems in place to gain feedback and ensure the service was running well. The registered manager sought and shared knowledge and ideas, which contributed to improving the service and ensuring up do date best practice was followed. People and staff feel respected, valued, highly supported and listened to.

• People were truly placed at the centre of the service and were consulted on every level. Respect for privacy and dignity, and supporting people to feel truly, ‘at home’, was at the heart of the provider's culture and values.

Rating at last inspection: Good, with Outstanding in responsive (published 11 May 2016)

About the service:

Klair House is registered to accommodate twelve people with a mental health condition and has two self-contained units, in addition to the main house. These units are intended as ‘transitional’ accommodation for people preparing to move on into independent living in the community. At the time of our inspection Klair House was fully occupied.

Why we inspected:

This was a planned inspection based on the rating at the last inspection. The service has increased its’ rating to Outstanding.

Follow up:

Going forward we will continue to monitor this service and plan to inspect in line with our reinspection schedule for those services rated Outstanding.