About the service: Cantley House is a care home registered to care for three people who have a learning disability or autistic spectrum disorder. At the time of the inspection three people were living in the home.
The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.
As part of thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people. The service used positive behaviour support principles to support people in the least restrictive way. No restrictive intervention practices were used.
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.
We found the outcomes for people using this 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.
People’s experience of using this service:
People were safe and protected from avoidable harm and relevant risk assessments were in place. People told us they felt safe living in the home. People's medicines were managed well, and the home was clean and tidy throughout. There were enough staff on duty to ensure people’s needs were met and they had been recruited in a way that helped to keep people safe.
People were supported to eat and drink. Where people had specific dietary needs, these were provided for. Communication was effective within the staff team and people were supported to access healthcare services as needed. 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. All staff received appropriate training, support and supervision.
Staff were kind and caring towards people and had developed very strong and positive relationships with them, knowing them well, including their histories, likes and dislikes. People were treated with dignity and respect, they were involved in making daily decisions and encouraged to develop and maintain their independence.
Care plans were personalised and detailed. They included information about people’s preferences and abilities. People were supported to make day to day choices and decisions about their lives and were able to participate in their hobbies and interests. Staff supported people to participate in a range of activities. There was a focus on treating people with equality and on involving and empowering those with communication difficulties, to ensure their voices were heard and valued. There was a system in place to manage complaints.
Leadership and management were of good quality and people who used the service, their relatives and representatives were involved in how the service was run and operated. Systems of governance were in place to monitor the quality of the service provided and staff felt supported and spoke positively about the registered provider and the registered manager.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection:
The service was rated good at the last inspection in January 2017 (published February 2017).
Why we inspected:
This was a planned inspection based on the rating awarded at the last inspection.
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.