23 Cecil Road

Updated 19 April 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check 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.

This inspection took place on 12 March 2018 and was unannounced. The inspection was completed by one inspector. 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. We used this information to formulate our inspection plan.

Some people using the service were able to tell us their experience of their life in the home and we discussed areas of the home with two people. We also observed how people were supported. After the inspection we spoke with a relative by telephone and a social care professional. Their comments have been included in the report.

We looked at the care records for two people. We checked that the care they received matched the information in their records. We also looked at a range of information to consider how the home ensured the quality of the service; these included audits relating to, infection control, and surveys to reflect feedback and audits which covered all aspects of the home.

Updated 19 April 2018

This inspection visit took place on 12 March 2018 and was unannounced. The inspection was completed by one inspector. 23 Cecil Road is a care service and has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen. Registering the Right Support CQC policy. At the last inspection in February 2016, the service was rated Good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The accommodation 23 Cecil Road is situated in Dronfield. It is a large house with a safe and secure garden. The property is close to shops and amenities which are utilised by the people living at the home. Each person has their own bedroom with an ensuite facility. There are shared spaces which include the lounge, a dining room and a kitchen. The home is registered for six people and at the time of our inspection five people were living in the home.

People were supported to work towards and complete major achievements in their lives. The service had continued to strengthen positive links with health care professionals and the local community shops and leisure opportunities.

Professionals involved in people's care confirmed that the service was focused on individual’s needs and the provider had been able to meet people's needs where other services had failed. The provider had used technology to support people with accessing information and to develop their methods of communication. People were supported to express their sexuality and provided with guidance and opportunities to socialise.

People and their family were involved in their own care planning and were able to contribute to the way in which they were supported. Care was completely centred and tailored to each individual.

The service was flexible and adapted to people's changing needs and desires, enabling positive outcomes for all concerned. Staff had gone the extra mile to ensure that people received the support to meet their achievements and aspirations.

The provider was involved with the development of a national initiative to try and prevent the over medication of people with learning disabilities, autism or both and this ethos was firmly embedded within the service. People were protected from harm and staff had received appropriate training. Risks were managed and people supported when they expressed themselves through behaviours which challenge. There was enough staff to support people’s needs and lessons had been learnt. The home was protected from the risk of infection.

People were able to make decisions and their own choices. When they had a long term illness guidance was obtained to follow best practice. Staff received training which was relevant to their role. Meals supported people nutritional requirements and choice. Health care professionals had been consulted to support people’s wellbeing. People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

People had established positive relationships with the staff. This supported them to remain independent and have daily choices. When required people could access an advocate to provide support and guidance on decision making. People’s privacy and dignity was maintained.

The service remains well led. Staff felt supported by the registered manager. They had a good understanding of the service and followed guidance in respect of their registration. People’s views were considered. Partnerships had been developed with health and social care professional to support the staffs’ skills and the support networks for people. Audits were used to reflect on the home and to drive improvements. The provider also looked to develop accreditation in supporting people with autism, which involved a string development with the staff team.

Further information is in the detailed findings below