23 April 2019
During a routine inspection
Ashby House is a residential care home that provides accommodation and personal care for six younger adults with a learning disability and autism. The service is provided in a large converted home, which has been adapted to provide en-suite bedrooms, two activity rooms, a quiet room and multi-purpose outside space. At the time of this inspection six people used the service.
People's experience of the service:
The service had been developed in line with values than 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.
People received personalised care from staff who understood their needs well. There was a strong emphasis on fulfilling people's aspirations and supporting them to achieve their goals. People were supported to take part in activities that involved them in the local community and enabled them to build friendships outside of the home. Professionals were positive about the outcomes people achieved at the service.
The provider and registered manager used management systems to identify and manage risks to the quality of the service and drive continuous improvement. The registered manager promoted an open, and positive culture across the service which ensured people’s diverse needs were understood and respected.
The registered manager and staff worked collaboratively with other professionals to ensure people received effective care. Staff were trained and motivated to meet people’s individual needs and referred them to other health professionals to ensure their day-to-day healthcare needs were met.
People were treated with kindness and had warm, caring relationships with staff. Staff treated people with respect and promoted their privacy and dignity at all times.
People were supported to be as independent as possible and have maximum choice and control of their lives. Staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People received safe care, with risks continually assessed to ensure both their home environment and outings in the community were safe. Staff developed innovative ways to support people to manage behaviour that challenged the service, whilst minimising restrictions on people.
The provider recorded and acted on complaints and sought the views of people, relatives, professionals and staff on how things could be improved at the service.
Rating at last inspection: This is the first inspection of the service, which registered with us in May 2018.
Why we inspected: To provide a rating for the service.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk